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

JON BRENNAN, R-LCSW

Active Sole Proprietor

Mental Health Counselor · CENTER MORICHES, NY

Registration Details

NPI Number
1659863868
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2018 (7.921777536976 yrs)
Last Updated
Jan 9, 2020
Licenses
R044718-1 (NY)
R044718-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
408 MONTAUK HWY
CENTER MORICHES, NY, 119343518
Browse NY providers · Browse ZIP 11934
Phone
6318740185
Fax
6319098940
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in CENTER MORICHES, NY

Name Credential NPI
MRS. ELISABETH BURRELLI LMHC 1346397197
GAYLE S RAWLINGS MS 1619205713
SUE ANN FRATELLO 1518319920
MRS. VALERIE MARIE GALLETTA LMSW 1043724073
MR. WILLIAM JAMES WISCHHUSEN LMHC 1154922888
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.