Individual
CHRISTINE FACCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
43 DAVEY DR, WEST ORANGE, NJ 07052-2131
(973) 652-7015
Mailing address
43 DAVEY DR, WEST ORANGE, NJ 07052-2131
(973) 652-7015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00567100
NJ
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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