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Jonathan Brunk
Counselor in Clovis, New Mexico
NPI 1215273305

Jonathan Brunk is a Counselor based in Clovis, NM. Jonathan Brunk practices in Clovis, NM. The NPI Number for Jonathan Brunk is 1215273305 and holds a License No. (New Mexico).

The current practice location address for Jonathan Brunk is 1621 Sutter Place, Clovis, NM and can be reached out via phone at 575-935-2345 and via fax at 575-742-3182.

Location: 1621 Sutter Place, Clovis, NM, 88101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215273305
Provider Name
Jonathan Brunk
Credential
Provider Entity Type
Individual
Gender
Male
Address
1621 Sutter Place, Clovis, NM, 88101
Phone Number
575-935-2345
Fax Number
575-742-3182
Provider Enumeration Date
12/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0167251 01 NM LICENSED MENTAL HEALTH COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1621 Sutter Place
City
Clovis
State
New Mexico
Zip
88101
Phone Number
575-935-2345
Fax Number
575-742-3182
person
Provider Business Mailing Address Details
Address
1621 Sutter Place
City
Clovis
State
New Mexico
Zip
88101
Phone Number
575-935-2345
Fax Number
575-742-3182
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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