Christine Bae, LAC

NPI #1942869359 in Old Tappan, New Jersey

Provider Information

NPI Number: 1942869359
Entity Type: Individual
Name: Christine Bae, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LAC
Enumeration Date: Jun 10, 2019
Last Updated: Nov 15, 2019

Practice Location

Address: 180 OLD TAPPAN
Address 2: BUILDING #3, 2ND FLOOR
City: Old Tappan
State: New Jersey
ZIP Code: 07675-1204
Phone: (845) 535-1456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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