Individual
BRENDA LITTLE BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
1516 W PIONEER PKWY, ARLINGTON, TX 76013-6252
(817) 723-8500
Mailing address
1620 DEVON DR, COLLEYVILLE, TX 76034-4141
(817) 685-7053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17576
LPC LICENSE
TX
Enumeration date
01/10/2007
Last updated
07/08/2007
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