Blue, Chanta

Blue, Chanta is an individual health care provider with primary practice located at 1 Upper Mountain Ave , Montclair NJ 07042-1871. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blue, Chanta can be contacted via phone (201) 463-5084.

Contact Information

Primary practice address
1 Upper Mountain Ave Montclair NJ 07042-1871
Phone: (201) 463-5084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 587336 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05703400 New Jersey

Profile Details

NPI number 1508239898
LBN Legal business name Blue, Chanta
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Sep 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers