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Individual
LAURA LEE BRUNS
Active
Individual
LAURA LEE BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CDCI
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
500
AK
101YA0400X
Addiction (Substance Use Disorder) Counselor
3270
AK
101YM0800X
Mental Health Counselor
Primary
500
AK
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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