Conklin, Thomas Anthony

Conklin, Thomas Anthony is an sole proprietor health care provider with primary practice located at 405 Ocean Ave , Bradley Beach NJ 07720-1233. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Conklin, Thomas Anthony can be contacted via phone (646) 335-3826.

Contact Information

Primary practice address
405 Ocean Ave Bradley Beach NJ 07720-1233
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00545000 New Jersey
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37AC0013330 New Jersey

Profile Details

NPI number 1659623809
LBN Legal business name Conklin, Thomas Anthony
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2012
Last updated Dec 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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