Provider Demographics
NPI:1669759924
Name:CHARMOY, JUDD ZACHARY (LPC)
Entity type:Individual
Prefix:MR
First Name:JUDD
Middle Name:ZACHARY
Last Name:CHARMOY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:ZACK
Other - Middle Name:
Other - Last Name:CHARMOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:168 WHITE HORSE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-2624
Mailing Address - Country:US
Mailing Address - Phone:609-323-5438
Mailing Address - Fax:609-895-0394
Practice Address - Street 1:168 WHITE HORSE AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-2624
Practice Address - Country:US
Practice Address - Phone:609-323-5438
Practice Address - Fax:609-895-0394
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00574700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional