Basic Information
| Provider Information | |||||||||
| NPI: | 1023383239 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHABIN | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 SPRUCE ST | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086383957 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153378136 | ||||||||
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| Practice Location | |||||||||
| Address1: | 314 E STATE ST | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086081810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6093965944 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2012 | ||||||||
| LastUpdateDate: | 03/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 37PC00418200 | NJ | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.