Ethan Brudno, LPC
Counselor, Professional in Medford, New Jersey
1346054228- Practice location
- 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772
- Phone
- 609-314-1807
- Fax
- —
- Last updated
- February 3, 2025
Ethan Brudno is a Counselor, Professional based in Medford, NJ. Ethan Brudno practices in Medford, NJ and has the professional credentials of LPC. The NPI Number for Ethan Brudno is 1346054228 and holds a License No. 37PC01099500 (NJ). The current practice location address for Ethan Brudno is 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772 and can be reached out via phone at 609-314-1807.
Provider Profile Details
- NPI Number
- 1346054228
- Provider Name
- Ethan Brudno
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772
- Phone Number
- 609-314-1807
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 3, 2025
- Last Update Date
- February 3, 2025
- Certification Date
- February 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Old Marlton Pike Ste 101
Medford, NJ 08055-8772 - City
- Medford
- State
- New Jersey
- Zip
- 08055-8772
- Phone Number
- 609-314-1807
Provider Business Mailing Address Details
- Address
- 1021 Route 70 W Apt A
Cherry Hill, NJ 08002-3530 - City
- Cherry Hill
- State
- NJ
- Zip
- 08002-3530
License Information
- License Number
- 37PC01099500
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ethan Brudno, LPC?
The NPI number of Ethan Brudno, LPC is 1346054228. It was assigned on February 3, 2025 and is currently active in the NPPES registry.
What is the specialty of Ethan Brudno, LPC?
Ethan Brudno, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC01099500.
Where does Ethan Brudno, LPC practice?
The practice location is 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772. The office can be reached at 609-314-1807 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346054228 directly on the NPPES registry website.