Individual
BRIANNA MICHELLE CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 E MAIN ST STE 200, ROCKAWAY, NJ 07866-3530
(201) 241-5752
Mailing address
170 E MAIN ST STE 200, ROCKAWAY, NJ 07866-3530
(201) 241-5752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00656
LICENSE
NJ
Enumeration date
09/30/2020
Last updated
09/30/2020
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