Basirah Chanel Byrd, LAC
NPI #1366151748 in Eatontown, New Jersey
Provider Information
- NPI Number
- 1366151748
- Entity Type
- Individual
- Name
- Basirah Chanel Byrd, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LAC
- Enumeration Date
- Nov 15, 2022
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 2 INDUSTRIAL WAY W STE 203
- City
- Eatontown
- State
- New Jersey
- ZIP Code
- 07724-2266
- Phone
- (732) 982-2888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Counselor - Mental Health — Mental Health |
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