Organization
BB COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L BURGESS PH.D (OWNER)
(732) 539-3023
Entity
Organization
Contact information
Practice address
119 MAPLE AVE, RED BANK, NJ 07701-1715
(732) 856-0671
(732) 876-9198
Mailing address
25 WINDINGBROOK WAY, HOLMDEL, NJ 07733-2332
(732) 539-3023
(732) 876-9198
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
35S100440800
NJ
Other
Enumeration date
08/21/2008
Last updated
03/05/2020
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