Individual
BETH A. BRONFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
87 FAIRFIELD RD, FAIRFIELD, NJ 07004-2546
(772) 361-6255
Mailing address
87 FAIRFIELD RD, FAIRFIELD, NJ 07004-2546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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