Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Bruun, SUDRC21939

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1275407462

Jeremy Bruun, SUDRC21939 is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2445 W Whites Bridge Ave
Fresno, CA 93706-1225
Phone: (559) 264-5096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence SUDRC21939 (CA)

Record details

NPI number1275407462
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC21939
Sole proprietorNo
NPI enumeratedOctober 1, 2025
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

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