Provider Demographics
NPI:1538310719
Name:RECHTMAN, JASON C (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:C
Last Name:RECHTMAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 ROUTE 9 S
Mailing Address - Street 2:SUITE 1000, OFFICE 7
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1383
Mailing Address - Country:US
Mailing Address - Phone:908-692-0579
Mailing Address - Fax:
Practice Address - Street 1:4400 ROUTE 9 S
Practice Address - Street 2:SUITE 1000, OFFICE 7
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1383
Practice Address - Country:US
Practice Address - Phone:908-692-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00416200OtherLPC LICENSE NUMBER