Individual
MS. VICKI ANN BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18088 SE MARKET ST, PORTLAND, OR 97233-5055
(971) 202-7866
Mailing address
18088 SE MARKET ST, PORTLAND, OR 97233-5055
(971) 202-7866
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
C1078
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26994
NATIONAL CERTIFIED COUNSE
—
01
—
C1078
LICENSED PROFESSIONAL COU
OR
Enumeration date
05/23/2007
Last updated
02/11/2015
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