Individual
SHELLY RENE BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
636 N MAIN ST, CHELSEA, MI 48118-1628
(734) 664-2528
Mailing address
14879 HILLTOP DR, CEMENT CITY, MI 49233-9641
(517) 206-3350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451014627
MI
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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