Individual
ALYSSA BRUNGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 VILLAGE AVE STE 204, YORKTOWN, VA 23693-5657
(757) 568-5904
Mailing address
118 HAZELWOOD AVE, TOANO, VA 23168-9320
(757) 634-2215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016218
VA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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