Individual provider · Type 1 NPI

Amanda Kennedy-Bruner, LPC-A

Mental Health Counselor · Charleston, SC

NPI number 1063112795 Active

Practice location

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Other practice locations

  • 408 Black Oak Blvd, Summerville, SC 29485-5838 · (843) 735-9393

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Health & Wellness Coach 171400000XNone listed
Mental Health Counselor Primary 101YM0800X8735 (SC)

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About NPI 1063112795

Amanda Kennedy-Bruner, LPC-A's National Provider Identifier is 1063112795, issued on Mar 9, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, SC. The record was last updated on Nov 2, 2023.