Provider Demographics
NPI:1952684771
Name:BRUNIER, SHARON (LCPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:BRUNIER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:949 GORSUCH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3602
Mailing Address - Country:US
Mailing Address - Phone:410-467-4121
Mailing Address - Fax:410-467-6709
Practice Address - Street 1:949 GORSUCH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3602
Practice Address - Country:US
Practice Address - Phone:410-467-4121
Practice Address - Fax:410-467-6709
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0468101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional