Individual
BRIANNE J SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
32 WAVERLY AVE, EAST ROCKAWAY, NY 11518-1339
(516) 641-1369
Mailing address
32 WAVERLY AVE, EAST ROCKAWAY, NY 11518-1339
(516) 641-1369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A21278
NC
225C00000X
Rehabilitation Counselor
Primary
478095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A21278
NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELOR
NC
Enumeration date
03/17/2025
Last updated
04/21/2025
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