Individual
CARRIE BRUNKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 MENCHACA RD STE 202, AUSTIN, TX 78704-5912
(361) 524-8797
Mailing address
3625 MENCHACA RD STE 202, AUSTIN, TX 78704-5912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77043
TX
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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