THERESA BROWN
NPI 1174979793
Counselor - Mental Health in Medford, NJ
Active since May 12, 2016
About Theresa Brown NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA BROWN (NPI 1174979793) is an individual mental health provider in Medford, New Jersey and active in the NPI registry since May 2016.
NPPES Registry Identity
NPI1174979793
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESA BROWN
Location Address417 TABERNACLE RDMedford, NJ 08055-2019
Mailing Address417 Tabernacle RdMedford, NJ 08055-2019
Phone(609) 654-7871
Sole ProprietorNo
Enumeration DateMay 12, 2016
✔ NPI 1174979793 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
417 TABERNACLE RD, Medford, NJ 08055
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
417 TABERNACLE RD
MEDFORD, NJ 08055
MEDFORD, NJ 08055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174979793, enumerated as an "individual" on May 12, 2016.
The provider is located at 417 TABERNACLE RD MEDFORD, NJ 08055 and the phone number is (609) 654-7871.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
