| NPI | 1598943995 |
|---|---|
| Other Name | BRETT J. PRUNTY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR LPC (OR) C-1765) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR CADC II # 05-r-03) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |