Individual
ABIGAIL BRUNTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1005 SW DISK DR STE 104, BEND, OR 97702-3385
(541) 316-5574
Mailing address
PO BOX 535, BEND, OR 97709-0535
(541) 214-4291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7022
OR
101YP2500X
Professional Counselor
C7022
OR
Other
Enumeration date
05/11/2017
Last updated
12/20/2022
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