Individual
CRYSTAL ANNAMARIE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
Mailing address
PO BOX 163, SPRINGFIELD, OR 97477-0024
(541) 735-9420
(541) 747-9870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21-QMHA-R-1519
OR
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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