| NPI | 1821706946 | 
|---|---|
| Doing Business As | SEA GLASS COUNSELING COLLABORATIVE | 
| Entity Type | Organization | 
| Authorized Contact | TINA MARIE COOKE Owner/President 973-919-6698  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2022-11-08 | 
| Last Update Date | 2024-12-31 |