Provider Demographics
NPI:1124425988
Name:DECKER, CHELSEA ELIZABETH (LPC, NCC, ACS, CCATP)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ELIZABETH
Last Name:DECKER
Suffix:
Gender:F
Credentials:LPC, NCC, ACS, CCATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 ROUTE 18 STE 106
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3719
Mailing Address - Country:US
Mailing Address - Phone:908-381-5812
Mailing Address - Fax:
Practice Address - Street 1:1405 ROUTE 18 STE 106
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3719
Practice Address - Country:US
Practice Address - Phone:908-381-5812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00481800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional