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Individual
BRUCE WAYNE FEATHERS
Active
Individual
BRUCE WAYNE FEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
12/06/2018
Last updated
02/07/2019
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