| Bruce Professional Counseling | |
|
1644 Carter St # B Vidalia LA 71373-3143 | |
| (318) 414-3065 | |
| Not Available |
| Full Name | Bruce Professional Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1644 Carter St # B, Vidalia, Louisiana |
| Authorized Official Name and Position | Tina Bruce (CEO) |
| Authorized Official Contact | 3184143065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Professional Counseling 1644 B. Carter Street, Suite 2 Vidalia LA 71373 Ph: () - | Bruce Professional Counseling 1644 Carter St # B Vidalia LA 71373-3143 Ph: (318) 414-3065 |
| NPI Number | 1255799235 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255799235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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