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Individual

MS. BRENDA ELIZABETH CODALLOS TEPEPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CADCI

Contact information

Practice address
22 COURT ST, FREEHOLD, NJ 07728-1700
(732) 780-7387
(732) 780-5157
Mailing address
22 COURT ST, FREEHOLD, NJ 07728-1700
(732) 780-7387
(732) 780-5157

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2022-000323
NJ

Other

Enumeration date
04/11/2023
Last updated
07/17/2025
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