Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00482500 | NJ |
NPI | 1003242413 |
---|---|
Provider Name | Christina Kingsley |
First Address | Trenton, NJ 08638-4143 |
Second Address | Trenton, NJ 08638-4143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2013 |
Last Update Date | 21/09/2020 |