Individual
BRENT ROUNSVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MT-BC
Contact information
Practice address
440 CONGRESS ST APT A3, BRADFORD, PA 16701-3993
(302) 803-4794
Mailing address
440 CONGRESS ST APT A3, BRADFORD, PA 16701-3993
(302) 803-4794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC016160
PA
225A00000X
Music Therapist
15938
—
Other
Enumeration date
12/11/2020
Last updated
09/21/2023
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