Provider Demographics
NPI:1194939116
Name:BRUNHUBER, JAMES K (LPC, LADC, ICAADC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:K
Last Name:BRUNHUBER
Suffix:
Gender:M
Credentials:LPC, LADC, ICAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74354-7024
Mailing Address - Country:US
Mailing Address - Phone:918-542-5543
Mailing Address - Fax:918-540-3123
Practice Address - Street 1:101 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-7024
Practice Address - Country:US
Practice Address - Phone:918-542-5543
Practice Address - Fax:918-540-3123
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK527101YA0400X
OK1062101YA0400X
OK1756101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional