Individual
LEAH M BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
11124 N CEDARBURG RD STE 150, MEQUON, WI 53092-4362
(616) 318-0066
Mailing address
11124 N CEDARBURG RD STE 150, MEQUON, WI 53092-4362
(616) 318-0066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6371-125
WI
101YP2500X
Professional Counselor
6401224378
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063802403
—
WI
01
—
17306-130
WISCONSIN LICENSE
WI
01
—
6371-125
LICENSED PROFESSIONAL COUNSELOR
WI
01
—
6401224378
LPC
MI
Enumeration date
01/23/2015
Last updated
03/05/2026
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