Individual
CARL BRANDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3330 NOYAC RD BLDG D, SAG HARBOR, NY 11963-1931
(631) 680-3180
Mailing address
16 PAYNE AVE, SAG HARBOR, NY 11963-1204
(631) 680-3180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007492
NY
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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