National Provider Identifier

Brandi E Baum, CASAC-T

Brandi E Baum, CASAC-T is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Ithaca, NY and a listed phone number of (607) 274-6288.

NPI 1770068181Ithaca, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1770068181
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
October 02, 2018
Last Updated
October 02, 2018

Practice Location

  • 201 E Green St Ste 500
  • Ithaca, NY 14850-5635

Phone: (607) 274-6288

Mailing Address

  • 161 Central Ave Apt 2
  • Cortland, NY 13045-2704

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1770068181
Entity Type
Individual
Last Name
Baum
First Name
Brandi
Middle Name
E
Credential
CASAC-T
Mailing Street Address
161 Central Ave Apt 2
Mailing City
Cortland
Mailing State
NY
Mailing ZIP Code
13045-2704
Mailing Country
US
Mailing Phone
(607) 591-4886
Practice Street Address
201 E Green St Ste 500
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5635
Practice Country
US
Practice Phone
(607) 274-6288
Enumeration Date
October 02, 2018
Last Updated
October 02, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)