Provider Demographics
NPI:1851652341
Name:LOISEAU, BRIAN (LPC)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:LOISEAU
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 N HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-2429
Mailing Address - Country:US
Mailing Address - Phone:609-503-7377
Mailing Address - Fax:609-358-0223
Practice Address - Street 1:2145 NOTTINGHAM WAY STE A
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3031
Practice Address - Country:US
Practice Address - Phone:609-503-7377
Practice Address - Fax:609-358-0223
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00389100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional