Organization
BRUNGARD COUNSELING SERVICES
Active
Organization
BRUNGARD COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BRUNGARD (OWNER)
(443) 968-9266
Entity
Organization
Contact information
Practice address
489 MAIN ST, SUITE 102, PRINCE FREDERICK, MD 20678-3187
(443) 968-9266
(410) 414-5911
Mailing address
PO BOX 1631, PRINCE FREDERICK, MD 20678-1631
(443) 968-9266
(410) 414-5911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11218
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402796500
—
MD
Enumeration date
01/05/2016
Last updated
02/27/2017
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