Individual
BRENT D GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6718 E CALLE LA PAZ UNIT C, TUCSON, AZ 85715-4093
(520) 270-2177
Mailing address
6718 E CALLE LA PAZ UNIT C, TUCSON, AZ 85715-4093
(520) 270-2177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-13840
AZ
Other
Enumeration date
08/13/2018
Last updated
10/28/2020
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