Individual
DR. JOHN H HALBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., LCSW, MFT
Contact information
Practice address
410 W 40TH ST, NEW YORK, NY 10018-1204
(212) 358-1317
(203) 762-3106
Mailing address
17 FRIENDLEE LN, WILTON, CT 06897-3109
(203) 762-3106
(203) 762-3106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004362
CT
1041C0700X
Clinical Social Worker
R047940
NY
106H00000X
Marriage & Family Therapist
Primary
000035
NY
106H00000X
Marriage & Family Therapist
000546
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10743237
CAQH ID # FOR CREDENTIAL
NY
01
—
P2542770
OXFORD INS. PROVIDER NO.
NY
Enumeration date
02/12/2007
Last updated
09/11/2025
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