Michael T Bruning, M.ED, BSL

Individual provider Active NPI Mental Health Counselor · Lock Haven, PA

NPI 1346974003 · NPPES record last updated Aug 2, 2022

Key facts

NPI
1346974003
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
740 Bressler St
Lock Haven, PA 17745-3741
Phone
(570) 502-2326
NPI assigned
Jul 10, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science - Law, Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

740 Bressler St
Lock Haven, PA 17745-3741

Mailing address

435 W 4TH St
Williamsport, PA 17701-6001
Phone (570) 502-2326

Other providers in Lock Haven, PA

All providers in Lock Haven, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.