Individual
MR. BRUCE BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4925 EVERHART RD STE 103, CORPUS CHRISTI, TX 78411
(361) 806-2600
(361) 806-2624
Mailing address
PO BOX 271416, CORPUS CHRISTI, TX 78427-1416
(361) 334-1136
(361) 334-1574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17545
TX
101YM0800X
Mental Health Counselor
17545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509028-02
—
TX
05
—
150902801
—
TX
Enumeration date
10/26/2006
Last updated
11/14/2023
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