Individual provider · Type 1 NPI

Khalimah Poole

Mental Health Counselor · Matawan, NJ

NPI number 1700379153 Active

Practice location

166 Main St
Matawan, NJ 07747-3104

Mailing address

1205 Bristol Station Ct
Carteret, NJ 07008-3091

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1700379153

Khalimah Poole's National Provider Identifier is 1700379153, issued on Jun 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Matawan, NJ. The record was last updated on Jun 11, 2018.