Healthcare Provider Details

I. General information

NPI: 1487475224
Provider Name (Legal Business Name): CELESTINA STE. CLAIRE M.A., ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 KINGS HWY N STE 313
CHERRY HILL NJ
08034-1912
US

IV. Provider business mailing address

1101 KINGS HWY N STE 313
CHERRY HILL NJ
08034-1912
US

V. Phone/Fax

Practice location:
  • Phone: 856-617-9333
  • Fax:
Mailing address:
  • Phone: 856-617-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00303900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: