Healthcare Provider Details

I. General information

NPI: 1972437861
Provider Name (Legal Business Name): KAREN ANN BRANDON CASAC-MC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN ANN BRANDON MHC, CASAC-MC,

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CHURCH ST STE 2
WHITE PLAINS NY
10601-1926
US

IV. Provider business mailing address

20 CHURCH ST STE 2
WHITE PLAINS NY
10601-1926
US

V. Phone/Fax

Practice location:
  • Phone: 914-683-8050
  • Fax:
Mailing address:
  • Phone: 914-683-8050
  • Fax: 914-683-8054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number17042
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: