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Individual

CHRIS DESILVESTRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT LCADC

Contact information

Practice address
506 LAURIE LN, ABERDEEN, NJ 07747-1501
(732) 309-6104
Mailing address
506 LAURIE LN, ABERDEEN, NJ 07747-1501
(732) 309-6104

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00176700
NJ
101YM0800X
Mental Health Counselor
Primary
37FI00176800
NJ

Other

Enumeration date
03/02/2016
Last updated
03/02/2016
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