Individual
BRUCE FRASER GURGANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
20 N SAN PEDRO RD STE 2021, SAN RAFAEL, CA 94903-4158
(415) 499-6769
(415) 499-3791
Mailing address
1039 CRESTON RD, BERKELEY, CA 94708-1503
(415) 499-7595
(415) 499-3791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT 16879
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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