Individual
MARTHA BRUNZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1130 TEN ROD RD, BUILDING C SUITE 201, NORTH KINGSTOWN, RI 02852-4161
(401) 294-8181
(401) 721-5661
Mailing address
1130 TEN ROD RD, BUILDING C SUITE 201, NORTH KINGSTOWN, RI 02852-4161
(401) 294-8181
(401) 721-5661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00193
RI
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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