Organization
BRYAN HACKETT LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN HACKETT (CHIEF EXECUTIVE OFFICER)
(973) 390-8230
Entity
Organization
Contact information
Practice address
705 GREENS AVE APT 9, LONG BRANCH, NJ 07740-4923
(973) 390-8230
Mailing address
705 GREENS AVE APT 9, LONG BRANCH, NJ 07740-4923
(973) 390-8230
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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