MEDICARE: SEAN BRUNIER LMFT

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
1	106H00000X	Marriage & Family Therapist	205258	TX

General Provider Information

NPI Number	:	1871524058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN BRUNIER LMFT

Provider Business Mailing Address
First Line	:	2350 N STEMMONS FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-2700
Country	:	US
Telephone Number	:	844-424-4537
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 N STEMMONS FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-2700
Country	:	US
Telephone Number	:	844-424-4537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/23/2024

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