Individual provider · Type 1 NPI

Jon Brennan, R-LCSW

Mental Health Counselor · Center Moriches, NY

NPI number 1659863868 Active

Practice location

408 Montauk Hwy
Center Moriches, NY 11934-3518

Fax (631) 909-8940

Mailing address

76 Woodland Rd
Miller Place, NY 11764-1944

Other practice locations

  • 900 Walt Whitman Rd, Melville, NY 11747-2293 · (516) 698-5511

Specialties and licenses

TaxonomyCodeLicense
Intellectual & Developmental Disabilities Psychologist 103TM1800XR044718-1 (NY)
Mental Health Counselor Primary 101YM0800XR044718-1 (NY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1659863868

Jon Brennan, R-LCSW's National Provider Identifier is 1659863868, issued on Jun 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Center Moriches, NY. The record was last updated on Jan 9, 2020.