Individual
MRS. CHRISTINE LEOTTA-SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
625 ROUTE 9, BEACHWOOD, NJ 08722-4007
(732) 580-6619
Mailing address
PO BOX 110, BAYVILLE, NJ 08721-0110
(732) 580-6619
(732) 228-7335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00141500
NJ
101YP2500X
Professional Counselor
37PC00453600
NJ
101YS0200X
School Counselor
—
NJ
Other
Enumeration date
07/01/2009
Last updated
04/22/2020
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