Individual
STACEY BRUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, NCC, LPC
Contact information
Practice address
9929 N 95TH ST, SUITE 101, SCOTTSDALE, AZ 85258-4592
(480) 948-1123
Mailing address
9929 N 95TH ST, SUITE 101, SCOTTSDALE, AZ 85258-4592
(480) 948-1123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NCC63702
AZ
101YP2500X
Professional Counselor
Primary
10342
AZ
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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