Individual
SANDRA BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WESLY CLARK BLVD, MADISON, AL 35756-4028
(256) 658-6642
Mailing address
102 WESLY CLARK BLVD, MADISON, AL 35756-4028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AADC169
AL
106H00000X
Marriage & Family Therapist
Primary
L450
AL
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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