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Individual
DEBRA ANN BRUCE
Active
Individual
DEBRA ANN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11924
TX
101YM0800X
Mental Health Counselor
11924
TX
101YP2500X
Professional Counselor
Primary
11924
TX
103T00000X
Psychologist
11924
TX
103TC1900X
Counseling Psychologist
11924
TX
106H00000X
Marriage & Family Therapist
2906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2575LC
BLUE CROSS-BLUE SHIELD #
TX
05
—
LP0012921
—
TX
Enumeration date
11/22/2005
Last updated
08/07/2008
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