Costenah Chanel Greenland, LPC
Counselor, Mental Health in Sewell, NJ. Individual provider (NPI-1).
NPI number1881039733
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1881039733
- Entity type
- Individual (NPI-1)
- Name
- Costenah Chanel Greenland
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 6, 2013
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
454 Hurffville Crosskeys RdSewell, NJ 08080-2339
Phone 856-582-1419 · Fax 856-582-7661
Mailing address
4 Skyhook CirDeptford, NJ 08096-6860
Phone 609-558-3375
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All 24 Mental Health Counselor providers in Sewell · All 1,187 providers in Sewell
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