Provider Demographics
NPI:1548637796
Name:WREIOLE, CHRISTIAN (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:WREIOLE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 MORRIS AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6573
Mailing Address - Country:US
Mailing Address - Phone:732-890-1230
Mailing Address - Fax:
Practice Address - Street 1:422 MORRIS AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6573
Practice Address - Country:US
Practice Address - Phone:732-890-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00638800101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional