Individual
BRETT BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009892
NY
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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