Individual
BEAU H BRENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T, CARC
Contact information
Practice address
7 DOVER VILLAGE PLAZA, STE #2, DOVER PLAINS, NY 12522
(845) 444-2333
Mailing address
41 PAGE PARK DR, POUGHKEEPSIE, NY 12603-7500
(845) 486-2950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36643
NY
101YM0800X
Mental Health Counselor
36643
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345
—
NY
Enumeration date
10/04/2022
Last updated
10/04/2022
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