Provider Demographics
NPI:1568610657
Name:MCENTEE, MICHELE CHRISTINE (MA, LMFT)
Entity Type:Individual
Prefix:MISS
First Name:MICHELE
Middle Name:CHRISTINE
Last Name:MCENTEE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 DOOLITTLE DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3508
Mailing Address - Country:US
Mailing Address - Phone:908-801-6568
Mailing Address - Fax:
Practice Address - Street 1:65 OLD HIGHWAY 22 STE 5B
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1329
Practice Address - Country:US
Practice Address - Phone:908-801-6568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50058106H00000X
CAMFI54450106H00000X
NJ37FI00187500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist