Provider Demographics
NPI:1790995405
Name:HAARVIG, CHRISTINE I (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:I
Last Name:HAARVIG
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 1:47 COPPER PENNY RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5575
Mailing Address - Country:US
Mailing Address - Phone:908-391-5097
Mailing Address - Fax:908-806-8438
Practice Address - Street 1:47 COPPER PENNY RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5575
Practice Address - Country:US
Practice Address - Phone:908-391-5097
Practice Address - Fax:908-806-8438
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045282001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical