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NPI Code Detail

MEDICARE: MS. BRANDI R BUNNER LMHCA

MEDICARE: MS. BRANDI R BUNNER LMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor88000482AIN

General Provider Information

NPI Number : 1457825226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRANDI R BUNNER LMHCA
Provider Business Mailing Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2073
Country : US
Telephone Number : 317-338-4600
Fax Number : 317-338-4123
Provider Business Practice Location Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2073
Country : US
Telephone Number : 317-338-4600
Fax Number : 317-338-4123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/15/2019

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