Individual
CHELSEA S BRUNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
1805 E WALNUT ST, COLUMBIA, MO 65201-6425
(573) 777-7500
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014034454
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490018874
—
MO
Enumeration date
12/16/2014
Last updated
06/08/2023
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