Provider Demographics
NPI:1053646703
Name:BRUNER, BRITTANY LYNN (MA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:BRUNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 N STATE ST STE 605
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5024
Mailing Address - Country:US
Mailing Address - Phone:360-325-9626
Mailing Address - Fax:360-656-6091
Practice Address - Street 1:1155 N STATE ST STE 605
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5024
Practice Address - Country:US
Practice Address - Phone:360-325-9626
Practice Address - Fax:360-656-6091
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60357013106H00000X
WARC 00058548101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health