person
Mr. Cornell J. Brunson, MS,LCADC
Addiction (Substance Use Disorder) Counselor in Vineland, New Jersey
NPI 1932389251

Cornell J. Brunson is an Addiction (Substance Use Disorder) Counselor based in Vineland, NJ and is specialized in Addiction (Substance Use Disorder). Cornell J. Brunson practices in Vineland, NJ and has the professional credentials of MS,LCADC. The NPI Number for Cornell J. Brunson is 1932389251 and holds a License No. 37LC00095400 (New Jersey).

The current practice location address for Cornell J. Brunson is 2630 E Chestnut Ave, Vineland, NJ and can be reached out via phone at 856-776-6649 and via fax at 856-696-4799.

Location: 2630 E Chestnut Ave, Vineland, NJ, 08360-3940
person
Provider Profile Details
NPI Number
1932389251
Provider Name
Cornell J. Brunson
Credential
MS,LCADC
Provider Entity Type
Individual
Gender
Male
Address
2630 E Chestnut Ave, Vineland, NJ, 08360-3940
Phone Number
856-776-6649
Fax Number
856-696-4799
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11767849 01 NJ AETNA
institution
Provider Business Practice Location Address Details
Address
2630 E Chestnut Ave
City
State
Zip
08361-8400
Phone Number
856-776-6649
Fax Number
856-696-4799
person
Provider Business Mailing Address Details
Address
2630 E Chestnut Ave
City
State
Zip
08361-8400
Phone Number
856-776-6649
Fax Number
856-696-4799
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00095400 (New Jersey)
Definition
Definition to come...
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