Individual
JANIE BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11362 COUNTRY CLUB RD, LAWRENCEVILLE, IL 62439-4325
(618) 943-3302
Mailing address
11362 COUNTRY CLUB RD, LAWRENCEVILLE, IL 62439-4325
(618) 943-3302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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