Individual
COSTENAH CHANEL GREENLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
454 HURFFVILLE CROSSKEYS RD, SEWELL, NJ 08080-2339
(856) 582-1419
(856) 582-7661
Mailing address
4 SKYHOOK CIR, DEPTFORD, NJ 08096-6860
(609) 558-3375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
07/24/2024
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