Individual
JESSICA LARSEN BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CD, LCCE
Contact information
Practice address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(973) 780-7759
Mailing address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(973) 780-7759
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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