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Individual
BRUCE ANTHONY EDDINS
Active
Individual
BRUCE ANTHONY EDDINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
01/05/2007
Last updated
02/15/2024
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