Individual
MR. BRUCE ROBERT GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
6244 EL CAJON BLVD, 15, SAN DIEGO, CA 92115-3918
(619) 287-8225
(619) 287-4146
Mailing address
6244 EL CAJON BLVD, SUITE 15, SAN DIEGO, CA 92115-3918
(619) 287-8225
(619) 287-4146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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