Jonathan Brunk

NPI #1215273305 in Clovis, New Mexico

Provider Information

NPI Number: 1215273305
Entity Type: Individual
Name: Jonathan Brunk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 18, 2012
Last Updated: Mar 17, 2015

Practice Location

Address: 1621 SUTTER PLACE
City: Clovis
State: New Mexico
ZIP Code: 88101
Phone: (575) 935-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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