Individual
BRIAN JOHN BRUENING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 488-2855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1901688
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390497
—
OH
05
—
2846988
—
OH
Enumeration date
02/10/2020
Last updated
03/08/2022
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