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Organization

GARY S BRENNAN LPC CADC NCC PSYCHOLOGICAL AND ADDICTION SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY S BRENNAN LPC, CADC (REGISTERED AGENT / OWNER)
(973) 796-8322
Entity
Organization

Contact information

Practice address
362 QUAKER CHURCH RD, RANDOLPH, NJ 07869-1455
(973) 796-8322
(973) 366-2747
Mailing address
362 QUAKER CHURCH RD, RANDOLPH, NJ 07869-1455
(973) 796-8322
(973) 366-2747

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00033700
NJ
101YM0800X
Mental Health Counselor
S4065
NJ
101YP2500X
Professional Counselor
Primary
37PC00464900
NJ

Other

Enumeration date
01/22/2013
Last updated
01/22/2013
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