| Kristin Birchenough, Lpc, Llc | |
|
192 3rd Ave Suite 8c Westwood NJ 07675-2154 | |
| (291) 873-9399 | |
| (201) 561-9504 |
| Full Name | Kristin Birchenough, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 192 3rd Ave, Westwood, New Jersey |
| Authorized Official Name and Position | Kristin Birchenough (LPC) |
| Authorized Official Contact | 2018739399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Birchenough, Lpc, Llc 192 3rd Ave Suite 8c Westwood NJ 07675-2154 Ph: (291) 873-9399 | Kristin Birchenough, Lpc, Llc 192 3rd Ave Suite 8c Westwood NJ 07675-2154 Ph: (291) 873-9399 |
| NPI Number | 1164874053 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164874053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00476400 (New Jersey) | Primary |
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