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
Phone: (646) 335-3826
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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