Provider Demographics
NPI:1245535251
Name:KAHN, JUSTIN ADAM (LPC)
Entity type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:ADAM
Last Name:KAHN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 COUNTY ROAD 520
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8219
Mailing Address - Country:US
Mailing Address - Phone:908-208-3553
Mailing Address - Fax:
Practice Address - Street 1:52 COUNTY ROAD 520
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8219
Practice Address - Country:US
Practice Address - Phone:908-208-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00415100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional