Individual
AUTUMN BRENDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
257 MAIN ST, BINGHAMTON, NY 13905-2522
(607) 729-6206
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003235
NY
101Y00000X
Counselor
Primary
P133489
NY
Other
Enumeration date
04/03/2025
Last updated
01/15/2026
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