LEON EDWARD BRUNTY

ALBANY, GA
NPI1780198770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  770)
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
LEON EDWARD BRUNTY CADCII
2607 LEDO RD
ALBANY, GA 31707-1211
Phone number: 229-903-0022
Mailing Address
LEON EDWARD BRUNTY CADCII
179 BRUNTY RD
TY TY, GA 31795-3601
Phone number: 218-393-9723