Individual
BRENDA C THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
630 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(856) 547-1107
(856) 547-1130
Mailing address
4636 THELMA AVE, MAYS LANDING, NJ 08330-9579
(856) 506-9084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00470300
NJ
Other
Enumeration date
05/24/2019
Last updated
12/21/2019
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