Individual
ANN M BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
118 ESTE ES RD, SUITE H, TAOS, NM 87571-6669
(575) 758-7263
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0127701
NM
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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