Individual
MRS. KRISTEN SHORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LPAT ATR-BC
Contact information
Practice address
39 AVENUE AT THE CMN STE 106, SHREWSBURY, NJ 07702-4560
(732) 378-9314
Mailing address
774 NEWMAN SPRINGS RD UNIT 327, LINCROFT, NJ 07738-8012
(732) 378-9314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00846900
NJ
221700000X
Art Therapist
16LP00009600
NJ
Other
Enumeration date
03/07/2023
Last updated
05/02/2023
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