Individual provider · NPI-1

John Badenhausen, MA

Counselor, Mental Health · Brick, NJ

NPI number1679627509
StatusActive
Last updated in NPPESJan 2, 2025

Details

NPI
1679627509
Entity type
Individual (NPI-1)
Name
John Badenhausen
Credential
MA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 22, 2007
Certification date
Jan 2, 2025
Last updated
Jan 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health37PC00447500NJYes

Practice location

503 Brick Blvd Ste 108
Brick, NJ 08723-6097

Phone 978-407-2839

Mailing address

503 Brick Blvd Ste 108
Brick, NJ 08723-6097

Phone 978-407-2839

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