Individual
GLENDA BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
2410 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10033-7320
(917) 258-3682
(212) 740-7065
Mailing address
2410 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10033-7320
(917) 258-3682
(212) 740-7065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23142-TRAINEE
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23142-TRAINEE
TRAINEE CERTIFICATE
NY
Enumeration date
07/08/2010
Last updated
07/08/2010
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