Individual
MS. BRANDY LYNN VANDERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1370 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8441
(716) 833-3708
(716) 833-3711
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 833-8708
(716) 833-3711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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