Individual
CHANEL MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
614 STATION AVE, HADDON HEIGHTS, NJ 08035-1907
(609) 534-0219
Mailing address
770 WOODLANE RD, MT. HOLLY, NJ 08060
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00182200
NJ
101YP2500X
Professional Counselor
Primary
37PC00598300
NJ
Other
Enumeration date
10/23/2013
Last updated
03/17/2018
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