Individual
CHAVA E ELLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MCKINLEY AVE, LAKEWOOD, NJ 08701-2377
(732) 276-5828
(732) 355-8171
Mailing address
4 MCKINLEY AVE, LAKEWOOD, NJ 08701-2377
(732) 276-5828
(732) 355-8171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507857
—
NJ
Enumeration date
03/05/2008
Last updated
07/21/2022
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