Provider Demographics
NPI:1386452365
Name:HA, CHRISTINE NGUYEN (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NGUYEN
Last Name:HA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-0305
Mailing Address - Country:US
Mailing Address - Phone:973-641-3679
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 305
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-0305
Practice Address - Country:US
Practice Address - Phone:973-641-3679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health