Provider Demographics
NPI:1629184411
Name:CERRATO, CHRISTIE B (LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:B
Last Name:CERRATO
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TROY CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-1215
Mailing Address - Country:US
Mailing Address - Phone:973-377-1205
Mailing Address - Fax:
Practice Address - Street 1:469 RIDGEDALE AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3022
Practice Address - Country:US
Practice Address - Phone:973-377-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00029700101YA0400X
NJ37PC00035200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3592060OtherOXFORD PROVIDER ID