Individual
BRANDON WHIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC, ACS, NCC
Contact information
Practice address
471 TREMONT AVE APT 9S, SOUTH ORANGE, NJ 07050
(862) 214-4939
Mailing address
4 S ORANGE AVE # 225, SOUTH ORANGE, NJ 07079-1702
(862) 214-4939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00347000
NJ
101YP2500X
Professional Counselor
Primary
37PC00738200
NJ
Other
Enumeration date
11/16/2020
Last updated
11/30/2022
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