Individual
ANDIE JO BRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 366-4205
Mailing address
5479 CAMINO COMPADRE, CAMARILLO, CA 93012-8624
(805) 340-5470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13476
CA
106H00000X
Marriage & Family Therapist
Primary
152566
CA
Other
Enumeration date
05/19/2023
Last updated
02/11/2025
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