Provider Demographics
NPI:1699346320
Name:MICHLIK, CHRISTINE J (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:J
Last Name:MICHLIK
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 HALSEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-7049
Mailing Address - Country:US
Mailing Address - Phone:973-343-3392
Mailing Address - Fax:
Practice Address - Street 1:131 HALSEY RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-7049
Practice Address - Country:US
Practice Address - Phone:973-343-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-04
Last Update Date:2021-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00230400101YA0400X
NJ37PC00747300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)