Individual
MR. BRIAN PHILIP CROAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1451 ROUTE 88 STE 4B, BRICK, NJ 08724-2371
(732) 223-9355
Mailing address
1451 ROUTE 88 STE 4B, BRICK, NJ 08724-2371
(732) 754-7275
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00378400
NJ
Other
Enumeration date
09/04/2018
Last updated
05/30/2024
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