Individual
JENNIFER RAE BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, NCC
Contact information
Practice address
2510 S BRENTWOOD BLVD, SUITE 305, BRENTWOOD, MO 63144-2328
(314) 467-8023
Mailing address
817 TUXEDO BLVD, WEBSTER GROVES, MO 63119-2044
(314) 963-3264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-005288
IL
101YP2500X
Professional Counselor
Primary
2007014463
MO
221700000X
Art Therapist
—
—
Other
Enumeration date
05/16/2007
Last updated
12/01/2016
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