MEDICARE: JOANNE BRENNAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00321609	NJ

General Provider Information

NPI Number	:	1083547814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE BRENNAN

Provider Business Mailing Address
First Line	:	1216 HAMPTON LN APT 1216
Second Line	:
City	:	ISELIN
State	:	NJ
Zip	:	08830-2985
Country	:	US
Telephone Number	:	609-713-1470
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 ATLANTIC CITY BLVD
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-1255
Country	:	US
Telephone Number	:	848-224-4897
Fax Number	:	848-224-0426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ JOANNE BRENNAN ” Practice Location

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