Individual provider · Type 1 NPI
Jenna Brunner, LCMHCA
Mental Health Counselor · Charlotte, NC
NPI number
1558095984
Active
Practice location
4730 Park Road, Suite A, C
Charlotte, NC 28209
Mailing address
4730 Park Rd Ste A
Charlotte, NC 28209-4205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | 597178 (NC) |
| Mental Health Counselor Primary | 101YM0800X | A17742 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1558095984
Jenna Brunner, LCMHCA's National Provider Identifier is 1558095984, issued on Jul 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jul 12, 2022.