Individual
BRIANNE FEGARSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC-T
Contact information
Practice address
140 ROUTE 303 STE J, VALLEY COTTAGE, NY 10989-5907
(845) 267-2172
Mailing address
178 PARKSIDE DR, SUFFERN, NY 10901-7803
(845) 422-5962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NY
104100000X
Social Worker
Primary
081307
NY
104100000X
Social Worker
44SL05760000
NJ
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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