Provider Demographics
NPI:1912033911
Name:ZAREMBA, KELLY BRANHAM (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:BRANHAM
Last Name:ZAREMBA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2031
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08607-2031
Mailing Address - Country:US
Mailing Address - Phone:908-255-9888
Mailing Address - Fax:908-255-9888
Practice Address - Street 1:39 NORTH CLINTON AVENUE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08609
Practice Address - Country:US
Practice Address - Phone:609-394-9398
Practice Address - Fax:609-396-2670
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00009700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional