Individual
CHRISTOPHER JAMES BRUNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
301 CHESTNUT ST, MOUNT SHASTA, CA 96067-2214
(530) 245-5805
Mailing address
301 CHESTNUT ST, MOUNT SHASTA, CA 96067-2214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12581
WA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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