Individual
JEANNE D. BRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
115 DYER ST, SUITE #1, COLUMBIA, TN 38401-4551
(931) 560-4220
Mailing address
152 CALDWELL RD, SUMMERTOWN, TN 38483-7155
(931) 629-9957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
TN
Enumeration date
02/13/2007
Last updated
07/09/2007
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