Organization
BERT BRUNO
Active
Other names
Castle Country Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERT BRUNO LCSW (OWNER)
(435) 650-6562
Entity
Organization
Contact information
Practice address
375 S CARBON AVE, SUITE B-11, PRICE, UT 84501-2909
(435) 637-5032
Mailing address
375 S CARBON AVE, SUITE B-11, PRICE, UT 84501-2909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
266606-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266606-3501
DOPL
UT
Enumeration date
04/10/2015
Last updated
04/10/2015
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