Individual
BRENNA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5712 TEC DR, AVON, NY 14414-9593
(585) 658-0900
Mailing address
190 PARRISH ST APT 3A-26, CANANDAIGUA, NY 14424-1724
(315) 399-2773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
078748
NY
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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