Search › Utah › 104100000X
Jessie Brunelle, LCSW
NPI 1306351317 · on the registry since 2017
Practice
- Address
- 1605 Navajo Rd
Wanship, UT 84017 - Phone
- (208) 407-0588
Additional practice sites
- 190 E Bannock St, Boise, ID
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2022-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah