Individual
BRAYAN OSPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 N BROAD ST, ELIZABETH, NJ 07208-3314
(908) 355-0050
Mailing address
123 1ST ST, ELIZABETH, NJ 07206-1744
(908) 764-3659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00820800
NJ
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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