Individual
CHRISTOPHER CUCCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
141 BRENTWOOD DR, MOUNT LAUREL, NJ 08054-2349
(609) 647-5382
Mailing address
141 BRENTWOOD DR, MOUNT LAUREL, NJ 08054-2349
(609) 647-5382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00912000
NJ
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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