Individual
CHASTITI FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCADC, LAC
Contact information
Practice address
104 N KING ST, GLOUCESTER CITY, NJ 08030-1417
(856) 742-0900
Mailing address
104 N KING ST, GLOUCESTER CITY, NJ 08030-1417
(856) 742-0900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00356600
NJ
Other
Enumeration date
07/01/2022
Last updated
10/04/2022
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