Organization · Type 2 NPI
Gary S Brennan LPC Cadc NCC Psychological and Addiction Services LLC
Professional Counselor · Randolph, NJ
NPI number
1619215993
Active
Practice location
362 Quaker Church Rd
Randolph, NJ 07869-1455
Fax (973) 366-2747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37CA00033700 (NJ) |
| Mental Health Counselor | 101YM0800X | S4065 (NJ) |
| Professional Counselor Primary | 101YP2500X | 37PC00464900 (NJ) |
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About NPI 1619215993
Gary S Brennan LPC Cadc NCC Psychological and Addiction Services LLC's National Provider Identifier is 1619215993, issued on Jan 22, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Randolph, NJ. The record was last updated on Jan 22, 2013.