Provider Demographics
NPI:1790826766
Name:WELZER, CHRISTINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:WELZER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PINE TER
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07422-1119
Mailing Address - Country:US
Mailing Address - Phone:201-317-3768
Mailing Address - Fax:973-764-3845
Practice Address - Street 1:171 WOODPORT RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2633
Practice Address - Country:US
Practice Address - Phone:201-317-3768
Practice Address - Fax:973-764-3845
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO5179400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health