Individual
IYONNA GESHON BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
7247 OLIVE BLVD STE B, SAINT LOUIS, MO 63130-2322
(314) 721-8986
(314) 721-8850
Mailing address
938 OLYMPIA DR, SAINT LOUIS, MO 63135-1562
(314) 524-7679
(314) 721-8850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003031616
MO
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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