Individual
KRISTEN JUSTINE AGNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, NCC, ACS
Contact information
Practice address
107 E MOUNT PLEASANT AVE STE 8, LIVINGSTON, NJ 07039-3038
(973) 476-6371
Mailing address
33 CAMBRIDGE AVE, DENVILLE, NJ 07834-9675
(973) 476-6371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007194-1
NY
101YP2500X
Professional Counselor
Primary
37PC00554300
NJ
Other
Enumeration date
10/09/2012
Last updated
05/13/2023
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