Individual
MISS CHRISTINABELLA RAE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC, SAC, NCC
Contact information
Practice address
26 POPPER ST, MANAHAWKIN, NJ 08050-5614
(609) 808-5280
(609) 978-4909
Mailing address
26 POPPER ST, MANAHAWKIN, NJ 08050-5614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01250544
NJ
101YM0800X
Mental Health Counselor
37AC00693200
NJ
101YP2500X
Professional Counselor
Primary
37AC00693200
NJ
101YS0200X
School Counselor
01674660
NJ
Other
Enumeration date
05/15/2023
Last updated
11/24/2023
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