Individual
CHRISTINA S MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CPRS-50300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
Enumeration date
11/02/2022
Last updated
11/02/2022
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