Provider Demographics
NPI:1669803870
Name:WINSTON, CHELSIE (MS, LAC, NCC)
Entity type:Individual
Prefix:MRS
First Name:CHELSIE
Middle Name:
Last Name:WINSTON
Suffix:
Gender:F
Credentials:MS, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 TANGLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1738
Mailing Address - Country:US
Mailing Address - Phone:908-902-8407
Mailing Address - Fax:
Practice Address - Street 1:135 TANGLEWOOD PL
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1738
Practice Address - Country:US
Practice Address - Phone:908-902-8407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-13
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00193400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health