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Individual

CHRISTOPHER BRUNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAP 5938

Contact information

Practice address
6900 SOUTHPOINT DR N, NORTH FLORIDA/SOUTH GEORGIA VA SPECIALTY CLINIC, JACKSONVILLE, FL 32216-8007
(904) 470-6900
(904) 739-0170
Mailing address
6900 SOUTHPOINT DR N, NORTH FLORIDA/SOUTH GEORGIA VA SPECIALTY CLINIC, JACKSONVILLE, FL 32216-8007
(904) 470-6900
(904) 739-0170

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5938
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CAP 5938
CERTIFIED ADDICTIONS PROFESSIONAL
FL
Enumeration date
02/11/2014
Last updated
02/11/2014
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