David R Brunick, LMFT
Marriage & Family Therapist in Cheyenne, WY. Individual provider (NPI-1).
NPI number1932506607
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1932506607
- Entity type
- Individual (NPI-1)
- Name
- Mr. David R Brunick
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2014
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT-313 | WY | Yes |
Practice location
1904 Warren AveCheyenne, WY 82001-3730
Phone 307-216-4227 · Fax 307-317-0973
Mailing address
1904 Warren AveCheyenne, WY 82001-3730
Phone 307-216-4227 · Fax 307-317-0973
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