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Marilyn Bryan Debernardo, LMHC,CASAC-G
Counselor in Glens Falls, New York
NPI 1407018591

Marilyn Bryan Debernardo is a Counselor based in Clifton Park, NY. Marilyn Bryan Debernardo practices in Glens Falls, NY and has the professional credentials of LMHC,CASAC-G. The NPI Number for Marilyn Bryan Debernardo is 1407018591 and holds a License No. 11051 (New York).

The current practice location address for Marilyn Bryan Debernardo is 4 Technical Park, Glens Falls, NY and can be reached out via phone at 518-847-7803 and via fax at 518-280-5049.

Location: 4 Technical Park, Glens Falls, NY, 12065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407018591
Provider Name
Marilyn Bryan Debernardo
Credential
LMHC,CASAC-G
Provider Entity Type
Individual
Gender
Female
Address
4 Technical Park, Glens Falls, NY, 12065
Phone Number
518-847-7803
Fax Number
518-280-5049
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01420800 05 NY
institution
Provider Business Practice Location Address Details
Address
4 Technical Park
City
Glens Falls
State
New York
Zip
12801
Phone Number
518-847-7803
Fax Number
518-280-5049
person
Provider Business Mailing Address Details
Address
4 Technical Park
City
Glens Falls
State
New York
Zip
12801
Phone Number
518-847-7803
Fax Number
518-280-5049
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
002250-1 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
11051 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
11051 (New York)
Definition
Definition to come...
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