Individual
ANDREA MARYANN BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
655 W HWY 50, SUITE 104 LIFESTREAM, CLERMONT, FL 34711-2982
(352) 394-5922
Mailing address
655 W HWY 50, CLERMONT, FL 34711-2982
(352) 394-5922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810268601
—
FL
Enumeration date
04/18/2007
Last updated
07/28/2012
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