Brunson, Jean Latisha

Brunson, Jean Latisha is an individual health care provider with primary practice located at 2817 Rock Merritt Ave Stop A , Fort Liberty NC 28310-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brunson, Jean Latisha can be contacted via phone (980) 352-8191.

Contact Information

Primary practice address
2817 Rock Merritt Ave Stop A Fort Liberty NC 28310-0001
Phone: (980) 352-8191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P016745 North Carolina

Profile Details

NPI number 1578342978
LBN Legal business name Brunson, Jean Latisha
Credentials LCSWA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2023
Last updated Sep 25th, 2023 - about 2 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.

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