Individual
MRS. BREANNA MARIE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCADC
Contact information
Practice address
67 WALNUT AVE STE 207, CLARK, NJ 07066-1640
(732) 982-2888
Mailing address
67 WALNUT AVE STE 207, CLARK, NJ 07066-1640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00350100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06043100
NJ
Other
Enumeration date
12/15/2021
Last updated
09/06/2023
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