Individual provider · Type 1 NPI
Jason Branch, PhD, LPC, NCC
Mental Health Counselor · Freehold, NJ
NPI number
1366887440
Active
Practice location
81 Stokes St
Freehold, NJ 07728-1640
Mailing address
9 Taylors Mills Rd Unit 635
Manalapan, NJ 07726-7027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | C1700A (AL) |
| Mental Health Counselor Primary | 101YM0800X | 37PC00658100 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1366887440
Jason Branch, PhD, LPC, NCC's National Provider Identifier is 1366887440, issued on May 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Freehold, NJ. The record was last updated on Aug 30, 2021.