Provider Demographics
NPI:1003024290
Name:CHARWIN, JOANN EFTHEMIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:EFTHEMIA
Last Name:CHARWIN
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 1:4 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3206
Mailing Address - Country:US
Mailing Address - Phone:609-409-4584
Mailing Address - Fax:609-409-4584
Practice Address - Street 1:4 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3206
Practice Address - Country:US
Practice Address - Phone:609-409-4584
Practice Address - Fax:609-409-4584
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00220200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional