| Doctor Name: | MR. GREGORY MCBRIDE |
| NPI Number: | 1750507935 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MED, LCADC, LPC |
| License Number: | 37LC00050500 |
| Business Practice Address: | 231 Clarksville Rd Suite 7a Princeton Jct, NJ - 085505300 |
| Business Phone Number: | 6092758855 |
| Business Fax Number: | 6092759655 |
| Mailing Address: | 231 Clarksville Rd, Suite 7a PRINCETON JCT |
| State: | NJ |
| Postal Code: | 085505300 |
| Phone Number: | 6092758855 |
| Fax Number: | 6092759655 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00050500 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |