Aimee Laure Brunelle, MA

Individual provider Active NPI Mental Health Counselor · Southbridge, MA

NPI 1407071020 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407071020
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
100 South St
Southbridge, MA 01550-4051
Phone
(508) 765-9771
Fax
(508) 765-3147
NPI assigned
Apr 17, 2007
Sex
Female
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
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

100 South St
Southbridge, MA 01550-4051

Mailing address

28 Walbridge Rd
Paxton, MA 01612-1436
Phone (508) 765-9771

Other providers in Southbridge, MA

All providers in Southbridge, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.