Chanelle T Custis
Chanelle T Custis is a Mental Health Counselor in Mt. Holly, New Jersey. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
215 Chestnut StMt. Holly, NJ 08060
Phone: (609) 914-0660
Fax: (609) 914-0665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578972394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 6, 2014 |
| Last updated in NPPES | August 6, 2014 |
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