Individual provider · NPI-1

Matthew Steven Behrens, CADC Intern

Counselor, Addiction (Substance Use Disorder) · Eatontown, NJ

NPI number1003414939
StatusActive
Last updated in NPPESOct 13, 2020

Details

NPI
1003414939
Entity type
Individual (NPI-1)
Name
Matthew Steven Behrens
Credential
CADC Intern
Sex
Male
Sole proprietor
No
Enumeration date
Oct 13, 2020
Certification date
Oct 13, 2020
Last updated
Oct 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)2020-000390NJYes
101YM0800X Counselor, Mental Health2020-000390NJ

Practice location

1 Corbett Way
Eatontown, NJ 07724-4247

Phone 732-380-7061

Mailing address

304 Crawford St
Eatontown, NJ 07724-2953

Phone 908-601-7851

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