Provider Demographics
NPI:1528393782
Name:BRUNSON, MEAGAN ALICIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:ALICIA
Last Name:BRUNSON
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 1:138 GOVERNORS VIEW RD
Mailing Address - Street 2:B
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2350
Mailing Address - Country:US
Mailing Address - Phone:828-545-7511
Mailing Address - Fax:
Practice Address - Street 1:138 GOVERNORS VIEW RD
Practice Address - Street 2:B
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2350
Practice Address - Country:US
Practice Address - Phone:828-545-7511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7528101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional