Brunell, Colette A
Brunell, Colette A is an individual health care provider with primary practice located at 5550 Sterrett Plce Suite 314, Columbia MD 21044. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brunell, Colette A can be contacted via phone (410) 730-6119.Contact Information
Primary practice address
5550 Sterrett Plce Suite 314
Columbia MD 21044
Phone: (410) 730-6119
Fax: (410) 290-6550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05994 | Maryland |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 05994 | Maryland |
Profile Details
| NPI number | 1154415636 |
|---|---|
| LBN Legal business name | Brunell, Colette A |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 20th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154415636 | NPPES |
| Maryland | Other | 36140003 | CAREFIRST DC PLAN |
| Maryland | Other | 30171 | CAREFIRST DC PLAN |
| Maryland | Other | 521885475 | CAREFIRST DC PLAN |
| Maryland | Other | 42560901 | CAREFIRST DC PLAN |
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