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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CORISSA GIDULA, MA, BCBA

Active Sole Proprietor

CORISSA GIDULA, MA, BCBA is a Mental Health Counselor healthcare provider located in MANAHAWKIN, New Jersey. NPI 1821455692 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MANAHAWKIN, NJ

Registration Details

NPI Number
1821455692
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2016 (10.509956753518 yrs)
Last Updated
Feb 28, 2023
Licenses
1-22-59762 (NJ)
APC004512 (GA)
Sole Proprietor
Yes

Practice Information

Address
848 BUCCANEER LN
MANAHAWKIN, NJ, 080502112
Browse NJ providers · Browse ZIP 08050
Phone
4842586050
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in MANAHAWKIN, NJ

Name Credential NPI
HEATHER MARIE ANGERSETIN MA 1457669467
DANIELLE DUNNE LAC 1396109617
ANNEMARIE SACCO 1639612757
BRITTANY ANN GORDON LAC 1194388223
ASHLEY EGLESTON LPC 1720600588
MRS. RACHEL AMIE JOHNSON LCSW 1548838725
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.