Individual
BLAIR BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5360 N ACADEMY BLVD STE 290, COLORADO SPRINGS, CO 80918-4038
(719) 434-2061
Mailing address
2561 E PIKES PEAK AVE APT M205, COLORADO SPRINGS, CO 80909-7011
(219) 775-1239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0018841
CO
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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