Individual provider · Type 1 NPI

Elijah J. Brunson

Mental Health Counselor · Brookings, OR

NPI number 1386440964 Active

Practice location

615 5th St # 300
Brookings, OR 97415-9199

Call (877) 408-8941 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386440964

Elijah J. Brunson's National Provider Identifier is 1386440964, issued on Feb 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookings, OR. The record was last updated on Feb 24, 2025.