Individual provider · Type 1 NPI

Jeremy Bruun, SUDRC 21939

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1275407462 Active

Practice location

2445 W Whites Bridge Ave
Fresno, CA 93706-1225

Call (559) 264-5096 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC21939 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275407462

Jeremy Bruun, SUDRC 21939's National Provider Identifier is 1275407462, issued on Oct 1, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 19, 2026.