Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00736600 | NJ |
NPI | 1003492521 |
---|---|
Provider Name | Brooke Dobelbower |
First Address | Moorestown, NJ 08057-2493 |
Second Address | Moorestown, NJ 08057-2493 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2021 |
Last Update Date | 23/03/2021 |