Provider Demographics
NPI:1841346582
Name:KENNEDY CASHION, BROOKE ANNE (LPC, LCADC)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:ANNE
Last Name:KENNEDY CASHION
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LONGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2017
Mailing Address - Country:US
Mailing Address - Phone:201-410-5134
Mailing Address - Fax:
Practice Address - Street 1:20 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1924
Practice Address - Country:US
Practice Address - Phone:201-410-5134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00123700101YA0400X
NJ37PC000305400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)