Individual
CHASE GIRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC,LPC,ACS,LCADC
Contact information
Practice address
63 W MAIN ST STE A-5, FREEHOLD, NJ 07728-2140
(848) 300-3933
Mailing address
95 HERBERT AVE, HAMILTON, NJ 08690-2730
(347) 948-6402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30537
NY
101YM0800X
Mental Health Counselor
006588
NY
101YM0800X
Mental Health Counselor
Primary
37PC00950300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
06/28/2011
Last updated
04/24/2025
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