Individual
CARREL COREUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC
Contact information
Practice address
198 NORTH AVE E, CRANFORD, NJ 07016-2469
(908) 272-0006
Mailing address
901 ROSELLE ST, LINDEN, NJ 07036-2522
(908) 403-7726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00223000
NJ
101YP2500X
Professional Counselor
Primary
37PC00506300
NJ
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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