NPI 1013562289

Kaitlyn Tassillo

Practitioner Counselor Toms River, NJ

Practice location

Address: 1198 Lakewood Rd, Toms River, NJ 08753-2237
Phone: (732) 451-3434

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1013562289
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2019
Record last updated: 5 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.