IndividualActive
Antone Brummund, MS, LISAC
NPI 1669619359 · Addiction (Substance Use Disorder) Counselor · Kingman, AZ
Provider details
- NPI number
- 1669619359
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MS, LISAC
- Sex
- Male
- Sole proprietor
- No
- License
- LISAC-11438 (AZ)
Mailing address
1743 Sycamore Ave
Kingman, AZ 86409-0927
Registry dates
- Enumerated
- 2009-01-16
- Last updated
- 2014-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.