Provider Demographics
NPI:1205172483
Name:BRUNE, LINDSEY K (MA, LMFT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:K
Last Name:BRUNE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520 137TH ST N
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-9252
Mailing Address - Country:US
Mailing Address - Phone:612-802-5098
Mailing Address - Fax:
Practice Address - Street 1:2829 VERNDALE AVE
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-1620
Practice Address - Country:US
Practice Address - Phone:763-233-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2327106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist