Doctor Name: | MR. JASON MICHAEL ANDREACH |
NPI Number: | 1740258193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 44SC04571500 |
Business Practice Address: | 2424 Bridge Ave. Suite 4 Andreach & Paulsen Counseling Group Llc Point Pleasant, NJ - 08742 |
Business Phone Number: | 7329037012 |
Business Fax Number: | 7329037135 |
Mailing Address: | Po Box 1926, BRICK |
State: | NJ |
Postal Code: | 087231071 |
Phone Number: | 7327010440 |
Fax Number: | 7327010419 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC04571500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |