Provider Demographics
NPI:1912563255
Name:NUNN, BRIGET (LPC)
Entity type:Individual
Prefix:
First Name:BRIGET
Middle Name:
Last Name:NUNN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-2238
Mailing Address - Country:US
Mailing Address - Phone:609-709-7094
Mailing Address - Fax:
Practice Address - Street 1:15 RYAN RD
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-2238
Practice Address - Country:US
Practice Address - Phone:609-709-7094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00465100101YM0800X
NJ37P00966600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health