Individual
DR. BRIAN JERMOE VAN BRUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
24 BRIDGE ST, HENNIKER, NH 03242-3202
(603) 491-3215
Mailing address
PO BOX 391, HENNIKER, NH 03242-0391
(603) 491-3215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
306
NH
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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