Individual
DR. JASON BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, NCC
Contact information
Practice address
81 STOKES ST, FREEHOLD, NJ 07728-1640
(732) 784-7879
Mailing address
9 TAYLORS MILLS RD UNIT 635, MANALAPAN, NJ 07726-7027
(732) 784-7879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00658100
NJ
101YM0800X
Mental Health Counselor
C1700A
AL
Other
Enumeration date
05/02/2013
Last updated
08/30/2021
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