# MS. ANN SUSAN BRENNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255348066
- **Gender:** F
- **Credential:** MARRIAGE AND FAMILY

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000432-1 | NY | — |
| 106H00000X | Marriage & Family Therapist | 000486 | CT | Yes |
| 106H00000X | Marriage & Family Therapist | MFC15135 | CA | — |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11561882 | CAQH | CT |
| 01 | — | 410000486CT01 | ANTHEM BLUE CROSS | CT |
