Provider Demographics
NPI:1457472052
Name:BRITLAND, RENA L (LCSW)
Entity Type:Individual
Prefix:
First Name:RENA
Middle Name:L
Last Name:BRITLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 DELAWARE RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3956
Mailing Address - Country:US
Mailing Address - Phone:908-534-0136
Mailing Address - Fax:
Practice Address - Street 1:97 GREENBROOK RD
Practice Address - Street 2:CHRISTIAN COUNCELING
Practice Address - City:GREENBROOK
Practice Address - State:NJ
Practice Address - Zip Code:08812
Practice Address - Country:US
Practice Address - Phone:908-534-0136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04606300101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor