Individual
MR. PAUL MICHAEL BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
538 RUGBY MINES RD, WALSENBURG, CO 81089-9756
(910) 574-3515
Mailing address
538 RUGBY MINES RD, WALSENBURG, CO 81089-9756
(910) 574-3515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P004680
NC
104100000X
Social Worker
Primary
C007062
NC
1041C0700X
Clinical Social Worker
C 007062
NC
1041C0700X
Clinical Social Worker
CSW.09926354
CO
1041C0700X
Clinical Social Worker
P-0004680
NC
Other
Enumeration date
12/18/2008
Last updated
08/29/2025
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