Individual
MR. MICHAEL JASON BRANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2156
Mailing address
113 MAPLE HTS, BATH, NY 14810-1013
(607) 329-1026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36354
NY
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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