Individual
BRENDA S GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6 FERNWOOD RD, ROCKAWAY, NJ 07866-2051
(551) 689-4301
Mailing address
6 FERNWOOD RD, ROCKAWAY, NJ 07866-2051
(551) 689-4301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00783700
NJ
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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