Individual provider · Type 1 NPI
Bryan Keith Bunn Jr., LPC
Mental Health Counselor · Thibodaux, LA
NPI number
1487212650
Active
Practice location
610 Church St
Thibodaux, LA 70301-2738
Mailing address
1115 Weber St
Franklin, LA 70538-4124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | LPC7970 (LA) |
Mental Health Counselor: Definition to come...
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About NPI 1487212650
Bryan Keith Bunn Jr., LPC's National Provider Identifier is 1487212650, issued on Jun 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thibodaux, LA. The record was last updated on Jun 17, 2022.