Organization
BRUCE PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA BRUCE (CEO)
(318) 414-3065
Entity
Organization
Contact information
Practice address
1644 CARTER ST # B, VIDALIA, LA 71373-3143
(318) 414-3065
Mailing address
1644 B. CARTER STREET, SUITE 2, VIDALIA, LA 71373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
02/04/2016
Last updated
03/05/2024
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