Individual
KAREN A. BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
196 WAVERLY DR, VIRGINIA BEACH, VA 23452-4330
(276) 340-4015
Mailing address
PO BOX 6603, VIRGINIA BEACH, VA 23456-0603
(276) 340-4015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945221
—
VA
Enumeration date
05/19/2009
Last updated
01/10/2022
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