Individual
BRENNA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
496 SMITHTOWN BYP STE 203, SMITHTOWN, NY 11787-5011
(631) 371-3825
Mailing address
99 FORSYTHIA LN, NORTH BABYLON, NY 11703-2808
(631) 560-5383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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