Provider Demographics
NPI:1134320922
Name:ALFANO, CHRISTINE CORY (MA, LPC,LCADC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:CORY
Last Name:ALFANO
Suffix:
Gender:F
Credentials:MA, LPC,LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 BRIDGE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4544
Mailing Address - Country:US
Mailing Address - Phone:732-892-0082
Mailing Address - Fax:732-892-1616
Practice Address - Street 1:703 BRIDGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-4544
Practice Address - Country:US
Practice Address - Phone:732-892-0082
Practice Address - Fax:732-892-1616
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00118600101YA0400X
NJ37PC00291000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional