Individual provider · NPI-1

Ellen Brophy, LPC

Counselor, Professional · Hackensack, NJ

NPI number1508442393
StatusActive
Last updated in NPPESMar 22, 2021

Details

NPI
1508442393
Entity type
Individual (NPI-1)
Name
Ellen Brophy
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2021
Certification date
Mar 22, 2021
Last updated
Mar 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional37PC00757000NJYes

Practice location

25 E Salem St
Hackensack, NJ 07601-7427

Phone 201-646-0333

Mailing address

25 E Salem St
Hackensack, NJ 07601-7427

Phone 201-646-0333

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