Provider Demographics
NPI:1588219414
Name:HORVATH, BRIANNA (MA, LAC, NCC)
Entity Type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:
Last Name:HORVATH
Suffix:
Gender:F
Credentials:MA, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 PAGE AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2515
Mailing Address - Country:US
Mailing Address - Phone:201-889-3211
Mailing Address - Fax:
Practice Address - Street 1:60 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1649
Practice Address - Country:US
Practice Address - Phone:732-882-1920
Practice Address - Fax:732-882-1925
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00437500101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor