Organization
LARRY BRUNSON LLC
Active
Other names
Larry Brunson LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BRUNSON (OWNER)
(317) 985-3119
Entity
Organization
Contact information
Practice address
3135 ALBRIGHT CT, INDIANAPOLIS, IN 46268-1301
(317) 985-3119
Mailing address
3135 ALBRIGHT CT, INDIANAPOLIS, IN 46268-1301
(317) 985-3119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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