Individual
LESLIE FENNO BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
7307 HARVEST LN, FREDERICKSBURG, VA 22407-7447
(703) 606-3663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007918
VA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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