Individual
LEON EDWARD BRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
2607 LEDO RD, ALBANY, GA 31707-1211
(229) 903-0022
(229) 903-0025
Mailing address
179 BRUNTY RD, TY TY, GA 31795-3601
(218) 393-9723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
770
GA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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