Provider Demographics
NPI:1609618719
Name:BRUNING, VIOLA (LPC)
Entity type:Individual
Prefix:
First Name:VIOLA
Middle Name:
Last Name:BRUNING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:CO
Mailing Address - Zip Code:81226-1126
Mailing Address - Country:US
Mailing Address - Phone:719-784-4816
Mailing Address - Fax:719-784-6014
Practice Address - Street 1:501 W 5TH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226-1126
Practice Address - Country:US
Practice Address - Phone:719-784-4816
Practice Address - Fax:719-784-6014
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0004760101YA0400X
COLPN.0001845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)