Individual
BRIANNA CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26 S MAPLE AVE, MARLTON, NJ 08053-2002
(609) 314-3542
Mailing address
26 S MAPLE AVE, MARLTON, NJ 08053-2002
(609) 314-3542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00790100
NJ
Other
Enumeration date
09/24/2018
Last updated
03/17/2022
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