| NPI | 1063183440 |
|---|---|
| Former Legal Business Name | BRUNS COUNSELING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA HORNER Credentialing Specialist 208-746-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |