Individual
BREANNA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 ARTIST LAKE BLVD, MIDDLE ISLAND, NY 11953-1313
(631) 816-3358
Mailing address
35 ARTIST LAKE BLVD, MIDDLE ISLAND, NY 11953-1313
(631) 816-3358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
097688
NY
101YP2500X
Professional Counselor
107198
NY
1041C0700X
Clinical Social Worker
Primary
097688
NY
Other
Enumeration date
11/06/2019
Last updated
07/19/2024
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