Provider Demographics
NPI:1629257605
Name:KIERNAN, ADAM J (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:J
Last Name:KIERNAN
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 1:201 W SYLVANIA AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6269
Mailing Address - Country:US
Mailing Address - Phone:908-902-1543
Mailing Address - Fax:
Practice Address - Street 1:201 W SYLVANIA AVE STE 5
Practice Address - Street 2:
Practice Address - City:NEPTUNE CITY
Practice Address - State:NJ
Practice Address - Zip Code:07753-6269
Practice Address - Country:US
Practice Address - Phone:908-902-1543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor