Doctor Name: | MR. BRIAN T GAMARELLO |
NPI Number: | 1467656447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LCADC, CCS |
License Number: | 37LC00076600 |
Business Practice Address: | 80 W Main St Mendham, NJ - 079451230 |
Business Phone Number: | 9735435656 |
Business Fax Number: | |
Mailing Address: | 80 W Main St, MENDHAM |
State: | NJ |
Postal Code: | 079451257 |
Phone Number: | 9085555555 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37LC00076600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |