Individual
MRS. JENNIFER LEE BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
4335 BARDOT DR, COLORADO SPRINGS, CO 80920-7505
(719) 282-9410
(719) 282-9410
Mailing address
4335 BARDOT DR, COLORADO SPRINGS, CO 80920-7505
(719) 282-9410
(719) 282-9410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1568
NC
1041C0700X
Clinical Social Worker
Primary
P005135
NC
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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