Individual
MARIETTA BRODHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC II
Contact information
Practice address
40 ELMONT RD, ELMONT, NY 11003-1603
(347) 625-9985
(516) 432-1796
Mailing address
40 ELMONT RD, ELMONT, NY 11003-1603
(347) 625-9985
(516) 432-1796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
013047
NY
Other
Enumeration date
11/04/2006
Last updated
11/14/2025
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