Provider Demographics
NPI:1124787239
Name:PRESBREY, JAMES BARTLETT
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BARTLETT
Last Name:PRESBREY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 GEORGE ST STE 258
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2009
Mailing Address - Country:US
Mailing Address - Phone:732-235-6800
Mailing Address - Fax:732-235-3240
Practice Address - Street 1:303 GEORGE ST STE 258
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2009
Practice Address - Country:US
Practice Address - Phone:732-235-6800
Practice Address - Fax:732-235-3240
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00597400101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor