Individual
MR. PAUL MICHAEL BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
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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