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General NPI Number Information
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NPI Number | 1437988987
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Entity Type | Individual
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Provider Name | HALEY BRENNAN MHCA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 39 W 14TH ST STE 406
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City | NEW YORK
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State | NY
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Zip | 10011-7404
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Country | US
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Telephone | 929-777-1073
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Fax | 877-929-2508
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Provider Business Mailing Address
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Address Line | 39 W 14TH ST STE 406
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City | NEW YORK
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State | NY
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Zip | 10011-7404
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Country | US
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Telephone | 929-777-1073
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Fax | 877-929-2508
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P122918
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License Number State | NY
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