JOHNATHAN ANTONIO BRUNSON

WILSON, NC
NPI1124477658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-06-06
Last Update Date2020-08-04
Business Address
JOHNATHAN ANTONIO BRUNSON LCAS-A
3011 NC HIGHWAY 42 W SUITE G
WILSON, NC 27893
Phone number: 252-991-3985
Mailing Address
JOHNATHAN ANTONIO BRUNSON LCAS-A
307 BEECH ST
GOLDSBORO, NC 27530-2818
Phone number: 919-731-2119
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