Individual
RACHAEL PHOEBE BRUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
3496 E LAKE LANSING RD STE 100, EAST LANSING, MI 48823-6222
(517) 862-1615
Mailing address
PO BOX 337, MASON, MI 48854-0337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6451022766
STATE OF MICHIGAN
MI
Enumeration date
04/18/2023
Last updated
04/18/2023
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