MEDICARE: MRS. BRITTANY JANSON LPC

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	103K00000X	Behavior Analyst
2	101Y00000X	Counselor	37AC00128300	NJ
3	101YM0800X	Mental Health Counselor	LPC008647	GA

General Provider Information

NPI Number	:	1811202872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY JANSON LPC

Provider Business Mailing Address
First Line	:	199 N WOODBURY RD STE 203
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071-1275
Country	:	US
Telephone Number	:	609-833-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	199 N WOODBURY RD STE 203
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071-1275
Country	:	US
Telephone Number	:	609-833-2211
Fax Number	:

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

Provider Enumeration Date	:	08/15/2010
Last Update Date	:	12/15/2024

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