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Organization

BRAVE MINDS PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FAWN M MCNEIL-HABER PHD (OWNER)
(908) 242-3634
Entity
Organization

Contact information

Practice address
567 PARK AVE, SUITE 204, SCOTCH PLAINS, NJ 07076-1754
(908) 242-3634
Mailing address
567 PARK AVE, SUITE 204, SCOTCH PLAINS, NJ 07076-1754
(908) 242-3634

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
35SI00456800
NJ
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
01/26/2017
Last updated
05/07/2024
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