Stephen Brunston, COMMUNITY COUNSELOR
NPI #1205547155 in Jacksonville, Oregon
Provider Information
- NPI Number
- 1205547155
- Entity Type
- Individual
- Name
- Stephen Brunston, COMMUNITY COUNSELOR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- COMMUNITY COUNSELOR
- Enumeration Date
- Dec 12, 2022
- Last Updated
- Dec 12, 2022
Practice Location
- Address
- 325 MAIN STREET
- City
- Jacksonville
- State
- Oregon
- ZIP Code
- 97530-9753
- Phone
- (541) 843-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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