Individual
PAUL EDWARD BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
101 E PARK DR, ALBION, IN 46701-1438
(260) 636-6884
(260) 636-3392
Mailing address
4606 IMPERIAL PARK DRIVE, FORT WAYNE, IN 46835-4233
(260) 636-6884
(260) 636-3392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001558A
IN
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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