Individual
CHRISTINA MARIE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
786 MOUNTAIN BLVD STE 104, WATCHUNG, NJ 07069-6268
(908) 322-9623
Mailing address
786 MOUNTAIN BLVD STE 104, WATCHUNG, NJ 07069-6268
(908) 322-9623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00286500
NJ
101YP2500X
Professional Counselor
37PC00638900
NJ
Other
Enumeration date
09/12/2018
Last updated
01/09/2023
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