Individual
MRS. HEIDI K BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1016 RAINBOW CT, FAIRBORN, OH 45324-6365
(937) 641-3401
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2001590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274610
—
OH
Enumeration date
06/27/2008
Last updated
10/09/2025
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