Provider Demographics
NPI:1831478684
Name:GENOVESE, CHRISTINE L (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:L
Last Name:GENOVESE
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 1:325 E JIMMIE LEEDS RD STE 7
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4126
Mailing Address - Country:US
Mailing Address - Phone:609-703-0901
Mailing Address - Fax:609-241-6916
Practice Address - Street 1:125 E MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:TUCKERTON
Practice Address - State:NJ
Practice Address - Zip Code:08087-2669
Practice Address - Country:US
Practice Address - Phone:609-703-0901
Practice Address - Fax:609-296-6699
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00419800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional