Mary Brunhaver, LCPC

NPI 1730582396 · on the registry since 2014

Practice

Address: 1161 Fortune Blvd
Shiloh, IL 62269
Phone: (618) 795-9880
Organisation at this address: Amanda Lewis, Msw, Lcsw, Llc
Amanda Benson Counseling, Llc
Earth Water Air Counseling, Llc
Ingram Counseling Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-03

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 Illinois