Individual
CHRISTINE LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
83 CULVER AVE, JERSEY CITY, NJ 07305-1531
(201) 725-0020
Mailing address
83 CULVER AVE, JERSEY CITY, NJ 07305-1531
(201) 725-0020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00577200
NJ
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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