Individual
CHRISTINE ANDREOTTI BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
38 ILLINOIS AVE, PORT MONMOUTH, NJ 07758-1145
(516) 695-7299
Mailing address
38 ILLINOIS AVE, PORT MONMOUTH, NJ 07758-1145
(516) 695-7299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00212600
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00659100
NJ
Other
Enumeration date
10/20/2014
Last updated
06/15/2022
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