# JENNA BRUNNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558095984
- **Gender:** F
- **Credential:** LCMHCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | A17742 | NC | Yes |
| 225C00000X | Rehabilitation Counselor | 597178 | NC | — |

## Other

- **Enumeration date:** 07/12/2022
- **Last updated:** 07/12/2022