Individual
MR. GEOFFREY KEVIN BRUNO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21203 PARK VALLEY DR, KATY, TX 77450-4820
(210) 563-0768
Mailing address
21203 PARK VALLEY DR, KATY, TX 77450-4820
(210) 563-0768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
171W00000X
Contractor
—
—
225C00000X
Rehabilitation Counselor
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
01/17/2017
Last updated
08/18/2020
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