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NPI Profile for MARILYN BRYAN DEBERNARDO in GLENS FALLS, NY.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1407018591 |
|
| Status | Active | |
| Credentials | LMHC, CASAC-G | |
| Entity | Individual | |
| Enumeration date | 06/30/2008 | |
| Last updated | 06/12/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARILYN BRYAN DEBERNARDO
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MARILYN BRYAN DEBERNARDO, LMHC, CASAC-G