Individual
MR. BRUCE OLIVER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 N 2ND ST, STE 301, FORT PIERCE, FL 34950-4435
(772) 595-3773
(772) 293-0210
Mailing address
121 N 2ND ST, STE 301, FORT PIERCE, FL 34950-4435
(772) 595-3773
(772) 293-0210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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