| Gary S Brennan Lpc Cadc Ncc Psychological And Addiction Services Llc | |
|
362 Quaker Church Rd Randolph NJ 07869-1455 | |
| (973) 796-8322 | |
| (973) 366-2747 |
| Full Name | Gary S Brennan Lpc Cadc Ncc Psychological And Addiction Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 362 Quaker Church Rd, Randolph, New Jersey |
| Authorized Official Name and Position | Gary S Brennan (REGISTERED AGENT / OWNER) |
| Authorized Official Contact | 9737968322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S Brennan Lpc Cadc Ncc Psychological And Addiction Services Llc 362 Quaker Church Rd Randolph NJ 07869-1455 Ph: (973) 796-8322 | Gary S Brennan Lpc Cadc Ncc Psychological And Addiction Services Llc 362 Quaker Church Rd Randolph NJ 07869-1455 Ph: (973) 796-8322 |
| NPI Number | 1619215993 |
|---|---|
| Provider Enumeration Date | 01/22/2013 |
| Last Update Date | 01/22/2013 |
| Medicare PECOS PAC ID | 1153769583 |
|---|---|
| Medicare Enrollment ID | O20240404002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619215993 | NPI | - | NPPES |
| Provider Name | Gary S. Brennan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477891745 PECOS PAC ID: 3476991894 Enrollment ID: I20240404001978 |
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