Individual
CANDANCE BRUNYATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402A BROWNS LN, LOUISVILLE, KY 40207-4609
(502) 894-0234
Mailing address
1402A BROWNS LN, LOUISVILLE, KY 40207-4609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172164
LPCC
KY
Enumeration date
07/31/2019
Last updated
07/31/2019
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