Individual
CHRISTIE ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 LATHROP AVE, BOONTON, NJ 07005-2253
(973) 335-9700
Mailing address
380 HIGH CREST DR, WEST MILFORD, NJ 07480-3740
(551) 795-5657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00731400
NJ
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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