Jacob Wesley Brunner I

NPI #1053116988 in Fairbanks, Alaska

Provider Information

NPI Number
1053116988
Entity Type
Individual
Name
Jacob Wesley Brunner I
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Feb 14, 2025
Last Updated
Feb 14, 2025

Practice Location

Address
1825 MARIKA RD
State
Alaska
ZIP Code
99709-5521
Phone
(575) 999-5105

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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