NPI 1265511646

Marietta Brodhurst, CASACII

Practitioner Addiction (Substance Use Disorder) Counselor Elmont, NY

Practice location

Address: 40 Elmont Rd, Elmont, NY 11003-1603
Phone: (347) 625-9985
Fax: (516) 432-1796

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 013047 (NY)

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Registry record

NPI: 1265511646
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2006
Record last updated: 14 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.