Doctor Name: | MR. JUSTIN ADAM KAHN |
NPI Number: | 1245535251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 37PC00415100 |
Business Practice Address: | 52 County Road 520 Englishtown, NJ - 077268219 |
Business Phone Number: | 9082083553 |
Business Fax Number: | |
Mailing Address: | 52 County Road 520, ENGLISHTOWN |
State: | NJ |
Postal Code: | 077268219 |
Phone Number: | 9082083553 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2011 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00415100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |