Individual
MARISSA BRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(720) 504-4744
Mailing address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(720) 504-4744
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT103876
CA
106H00000X
Marriage & Family Therapist
Primary
MFT000.1505
CO
Other
Enumeration date
06/24/2014
Last updated
10/09/2020
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