Most Relevant Information
Provider Data
| NPI Number: | 1003571027 |
| Provider Name: | BLAIR BRUNO LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 0018841 |
Most Important Dates
| Enumeration Date: | 11/04/2021 |
| Last Updated: | 11/04/2021 |
Provider Practice Location
5360 N ACADEMY BLVD STE 290
COLORADO SPRINGS
CO
809184038
Practice Location Phone/Fax
| Phone: | 7194342061 |
| Fax: |
Provider Mailing Location
2561 E PIKES PEAK AVE APT M205
COLORADO SPRINGS
CO
809097011
Provider Mailing Phone/Fax
| Phone: | 2197751239 |
| Fax: |