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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH BROUCA

Active Sole Proprietor

KEITH BROUCA is a Mental Health Counselor healthcare provider located in MONTCLAIR, New Jersey. NPI 1285235101 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MONTCLAIR, NJ

Registration Details

NPI Number
1285235101
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2020 (5.7262158995128 yrs)
Last Updated
Feb 4, 2025
License
37PC00789600 (NJ)
Sole Proprietor
Yes

Practice Information

Address
217 GLENRIDGE AVE STE 2
MONTCLAIR, NJ, 070423753
Browse NJ providers · Browse ZIP 07042
Phone
2012930115
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in MONTCLAIR, NJ

Name Credential NPI
MS. WENDY M. BROWN MA, LPC 1447365978
MS. MARY ANN FORSTER L.C.S.W. 1013078658
DR. ANDREW TODD THOMAS PSY.D. 1972658409
MRS. NEHA GANDHI LCSW 1831235597
RAYMONDE H DUMONT LMFT 1861538100
KATHLEEN HALCZLI M.A., L.P.C. 1952443368
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.