Provider Demographics
NPI:1023510435
Name:BRUNO-KRUPP, DENISE M (MA, LPC, LISAC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:M
Last Name:BRUNO-KRUPP
Suffix:
Gender:F
Credentials:MA, LPC, LISAC
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:M
Other - Last Name:BRUNO-KRUPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, LISAC
Mailing Address - Street 1:1830 S. ALMA SCHOOL RD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210
Mailing Address - Country:US
Mailing Address - Phone:480-649-3352
Mailing Address - Fax:
Practice Address - Street 1:1830 S. ALMA SCHOOL RD. SUITE 101
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210
Practice Address - Country:US
Practice Address - Phone:480-649-3352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC2053101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor