Provider Demographics
NPI:1477982056
Name:MAZZEO, CRISTINA ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ELIZABETH
Last Name:MAZZEO
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 1:72 E HOLLY AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1197
Mailing Address - Country:US
Mailing Address - Phone:856-582-6000
Mailing Address - Fax:856-582-6005
Practice Address - Street 1:72 E HOLLY AVE STE 106
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-1197
Practice Address - Country:US
Practice Address - Phone:856-582-6000
Practice Address - Fax:856-582-6005
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00480600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional