Individual
BRYAN KEITH BUNN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
610 CHURCH ST, THIBODAUX, LA 70301-2738
(985) 647-3553
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7970
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/03/2019
Last updated
06/17/2022
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