Individual
CHRISTINA MASCUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
670 US HIGHWAY 1 N, ISELIN, NJ 08830-2629
(732) 510-1140
(732) 218-9749
Mailing address
262 MONTCLAIR AVE, NEWARK, NJ 07104-2314
(973) 689-4399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00249600
NJ
104100000X
Social Worker
44SL06257800
NJ
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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