Individual
CHRISTINA LEE VAN JURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 ROOSEVELT ST, ROSELAND, NJ 07068-1258
(862) 345-6105
Mailing address
17 ROOSEVELT ST, ROSELAND, NJ 07068-1258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
011256
CT
1041C0700X
Clinical Social Worker
Primary
44SC05416800
NJ
Other
Enumeration date
12/27/2010
Last updated
01/18/2023
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