Individual
BRUCE J CERBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCPC, CCTP
Contact information
Practice address
1300 RIDENOUR BLVD NW STE 100, KENNESAW, GA 30152-4528
(770) 335-9521
Mailing address
1300 RIDENOUR BLVD NW STE 100, KENNESAW, GA 30152-4528
(770) 335-9521
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
062222526
GA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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