Individual
MISS CHRISTINA VANZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PMH-C
Contact information
Practice address
512 STERLING RIDGE DR, ATOKA, TN 38004-7918
(201) 888-1469
Mailing address
512 STERLING RIDGE DR, ATOKA, TN 38004-7918
(201) 888-1469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011180
VA
1041C0700X
Clinical Social Worker
44SC05676900
NJ
1041C0700X
Clinical Social Worker
Primary
9412
TN
1041C0700X
Clinical Social Worker
LC200002168
DC
Other
Enumeration date
06/19/2012
Last updated
01/02/2025
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