Individual
MRS. BRENDA KILLEEN BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,LCADC
Contact information
Practice address
1 MANOR DR, HAMPTON, NJ 08827-5409
(908) 537-6815
(908) 537-6400
Mailing address
387 TERRACE LN, BEDMINSTER, NJ 07921-1927
(908) 719-9669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00134400
NJ
1041C0700X
Clinical Social Worker
44SC00437100
NJ
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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