Individual
MS. JENNIFER GAIL BRUNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
3949 OLD POST RD STE 101, CHARLESTOWN, RI 02813
(401) 256-4996
Mailing address
PO BOX 1684, CHARLESTOWN, RI 02813-0909
(401) 648-3045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC00521
RI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922123314
NPI
CT
Enumeration date
06/21/2007
Last updated
07/07/2019
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