Individual
MR. KEVIN BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
461 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1404
(973) 596-2850
(973) 596-8180
Mailing address
461 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1404
(973) 596-2850
(973) 596-8180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37CA00112200
NJ
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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