Individual provider · NPI-1

Kristen Justine Agnello, LPC, LMHC, NCC, ACS

Counselor, Professional · Livingston, NJ

NPI number1619229093
StatusActive
Last updated in NPPESMay 13, 2023

Details

NPI
1619229093
Entity type
Individual (NPI-1)
Name
Kristen Justine Agnello
Credential
LPC, LMHC, NCC, ACS
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 9, 2012
Certification date
May 13, 2023
Last updated
May 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional37PC00554300NJYes
101YM0800X Counselor, Mental Health007194-1NY

Practice location

107 E Mount Pleasant Ave Ste 8
Livingston, NJ 07039-3038

Phone 973-476-6371

Mailing address

33 Cambridge Ave
Denville, NJ 07834-9675

Phone 973-476-6371

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