Individual
ETHAN BRUDNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
103 OLD MARLTON PIKE STE 101, MEDFORD, NJ 08055-8772
(609) 314-1807
Mailing address
1021 ROUTE 70 W APT A, CHERRY HILL, NJ 08002-3530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC01099500
NJ
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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