Bryan Keith Bunn, LPC Valid NPI
Individual provider · Mental Health Counselor · Thibodaux, LA
- NPI
- 1487212650
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- LPC7970 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-06-03
- Last updated
- 2022-06-17
Practice location
610 Church St
Thibodaux, LA 70301-2738
(985) 647-3553