| Chanelle T Custis, | |
|
215 Chestnut St., Mt.holly, NJ 08060 | |
| (609) 914-0660 | |
| (609) 914-0665 |
| Full Name | Chanelle T Custis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 215 Chestnut St., Mt.holly, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578972394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chanelle T Custis, 770 Woodlane Road, Mt. Holly, NJ 08060 Ph: (609) 267-5928 | Chanelle T Custis, 215 Chestnut St., Mt.holly, NJ 08060 Ph: (609) 914-0660 |
Shamiyra Selby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Road, Mt.holly, NJ 08060 Phone: 609-267-5928 | |
Sherry Florentino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 776 Woodlane Road, Mt.holly, NJ 08060 Phone: 609-267-5928 | |
Robin Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Mt.holly, NJ 08060 Phone: 609-267-5928 | |
Lindsay Marie Bottone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Road, Mt.holly, NJ 08060 Phone: 609-267-5928 | |
Kerry Pankey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Road, Mt.holly, NJ 08060 Phone: 609-267-5928 | |
Gelisa Givens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Road, Mt.holly, NJ 08060 Phone: 609-267-5928 |