Individual
PAT J BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 RHONDA LN, ROSE BUD, AR 72137-8003
(501) 827-8136
Mailing address
105 RHONDA LN, ROSE BUD, AR 72137-8003
(501) 827-8136
(479) 763-0105
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9685-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-637
ORDINATION OF MINISTER OFFICIANT
AR
01
—
15584417
CAQH
—
05
—
324450719
—
AR
01
—
9685C
ARKANSAS SOCIAL WORK LICENSING BOARD-LCSW
AR
Enumeration date
06/06/2022
Last updated
03/29/2025
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