Individual
BRENT PHILLIP BRENDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. L.P.C.
Contact information
Practice address
63 MAIN ST, SOUTHAMPTON, NJ 08088-8869
(609) 755-5680
Mailing address
PO BOX 2383, SOUTHAMPTON, NJ 08088-2383
(609) 755-5680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00389500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400526582
—
NJ
Enumeration date
05/31/2013
Last updated
05/31/2013
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