Individual
BRANDI E BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
201 E GREEN ST STE 500, ITHACA, NY 14850-5635
(607) 274-6288
Mailing address
161 CENTRAL AVE APT 2, CORTLAND, NY 13045-2704
(607) 591-4886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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