person
Mary Brunhaver, LCPC
Mental Health Counselor in Shiloh, Illinois
NPI 1730582396

Mary Brunhaver is a Mental Health Counselor based in O Fallon, IL and is specialized in Mental Health. Mary Brunhaver practices in Shiloh, IL and has the professional credentials of LCPC. The NPI Number for Mary Brunhaver is 1730582396 and holds a License No. 180.009770 (Illinois).

The current practice location address for Mary Brunhaver is 1161 Fortune Blvd, Shiloh, IL and can be reached out via phone at 618-795-9880.

Location: 1161 Fortune Blvd, Shiloh, IL, 62269-4250
person
Provider Profile Details
NPI Number
1730582396
Provider Name
Mary Brunhaver
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1161 Fortune Blvd, Shiloh, IL, 62269-4250
Phone Number
618-795-9880
Fax Number
Provider Enumeration Date
09/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1161 Fortune Blvd
City
State
Zip
62269-7385
Phone Number
618-795-9880
Fax Number
person
Provider Business Mailing Address Details
Address
1161 Fortune Blvd
City
State
Zip
62269-7385
Phone Number
618-795-9880
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.009770 (Illinois)
Definition
Definition to come...
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