Individual
COLLEEN CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
179 PALISADE AVE, JERSEY CITY, NJ 07306-1103
(201) 795-8375
Mailing address
179 PALISADE AVE, JERSEY CITY, NJ 07306-1103
(201) 795-8375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2015-000007
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05652100
NJ
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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