Individual
MS. EMILY BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, CASAC, ATR-BC
Contact information
Practice address
1639 CENTRE ST # 280, RIDGEWOOD, NY 11385-5335
(516) 680-2883
Mailing address
1639 CENTRE ST # 280, RIDGEWOOD, NY 11385-5335
(516) 680-2883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001797-01
NY
101Y00000X
Counselor
—
—
221700000X
Art Therapist
Primary
001797
NY
Other
Enumeration date
04/18/2013
Last updated
03/07/2022
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