Jeremy Behrens, LAC
Counselor, Mental Health in Marlton, NJ. Individual provider (NPI-1).
NPI number1407625890
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1407625890
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy Behrens
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2023
- Certification date
- Dec 27, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37AC00766200 | NJ | Yes |
Practice location
19 E Main StMarlton, NJ 08053-2172
Phone 856-985-9091
Mailing address
418 Otter Branch DrMagnolia, NJ 08049-1118
Phone 856-981-4868
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