Provider Demographics
NPI:1457023566
Name:HWANG, CHAEUN (LAC, NCC)
Entity Type:Individual
Prefix:
First Name:CHAEUN
Middle Name:
Last Name:HWANG
Suffix:
Gender:F
Credentials:LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24204 PEACHTREE CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1276
Mailing Address - Country:US
Mailing Address - Phone:617-833-0147
Mailing Address - Fax:
Practice Address - Street 1:860 ROUTE 168 STE 104
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3224
Practice Address - Country:US
Practice Address - Phone:856-677-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00598800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional