Provider Demographics
NPI:1790442614
Name:O'BRIEN, VERONICA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 DEARBORN AVE UNIT 905
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-9044
Mailing Address - Country:US
Mailing Address - Phone:848-272-0234
Mailing Address - Fax:
Practice Address - Street 1:309 ALGONQUIN TRL
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-6255
Practice Address - Country:US
Practice Address - Phone:848-272-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-27
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00934300101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty