Johnathan Antonio Brunson, LCAS-A
NPI #1124477658 in Wilson, North Carolina
Provider Information
- NPI Number
- 1124477658
- Entity Type
- Individual
- Name
- Johnathan Antonio Brunson, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- Jun 6, 2016
- Last Updated
- Aug 4, 2020
Practice Location
- Address
- 3011 NC HIGHWAY 42 W
- Address 2
- SUITE G
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27893
- Phone
- (252) 991-3985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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