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Organization

CARL F BRANDL LMHC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL F BRANDL LMHC (MENTAL HEALTH COUNSELOR)
(631) 680-3180
Entity
Organization

Contact information

Practice address
3330 NOYAC RD, BUILDING D, SAG HARBOR, NY 11963-1930
(631) 680-3180
Mailing address
16 PAYNE AVE, SAG HARBOR, NY 11963-1204
(631) 680-3180

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
007492
NY

Other

Enumeration date
03/20/2017
Last updated
03/20/2017
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