Individual
MS. GISELLE GENEVIEVE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
120 BETHPAGE TER, EASTON, PA 18042-6982
(973) 296-5225
Mailing address
10 MT. PLEASANT AVE., J201, DOVER, NJ 07801
(973) 296-5225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00338100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098850
—
NJ
Enumeration date
03/27/2007
Last updated
07/09/2007
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