Individual
CHASITY BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 BERTRAND DR, LAFAYETTE, LA 70506-5632
(337) 261-8781
Mailing address
101 HARVEST SUGAR ROW, CARENCRO, LA 70520-6183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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