Individual
JOANNA BREVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 MORRIS AVE, UNION, NJ 07083-4852
(609) 651-4001
Mailing address
2780 MORRIS AVE, UNION, NJ 07083-4852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00225900
NJ
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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