GARY S BRENNAN LPC CADC NCC PSYCHOLOGICAL AND ADDICTION SERVICES LLC NPI 1619215993

NPI Information

NPI: 1619215993
Provider Name: GARY S BRENNAN LPC CADC NCC PSYCHOLOGICAL AND ADDICTION SERVICES LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
362 QUAKER CHURCH RD
RANDOLPH, NJ
ZIP 07869
Phone: (973) 796-8322
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GARY S BRENNAN LPC CADC NCC PSYCHOLOGICAL AND ADDICTION SERVICES LLC is a professional counselor in Randolph, NJ. GARY S BRENNAN LPC CADC NCC PSYCHOLOGICAL AND ADDICTION SERVICES LLC NPI is 1619215993. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

362 QUAKER CHURCH RD
RANDOLPH, NJ
ZIP 07869-455
Phone: (973) 796-8322
Fax: (973) 366-2747

The provider's authorized official is Gary S Brennan .
The authorized official title is Registered Agent / Owner and has the following contact phone number (973) 796-8322.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 1/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37CA00033700	NEW JERSEY	No
2	101YM0800X	Counselor	Mental Health	S4065	NEW JERSEY	No
3	101YP2500X	Counselor	Professional	37PC00464900	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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