Individual
KELLY BRUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
106 GILMAN ST, PORTLAND, ME 04102-3034
(207) 874-1080
Mailing address
106 GILMAN ST, PORTLAND, ME 04102-3034
(207) 874-1080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
05/20/2026
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