Individual
HEATHER NICOLE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
801 WOODLAWN AVE STE 15, O FALLON, MO 63366-7647
(636) 379-1779
(636) 634-3496
Mailing address
150 MCCLUER DR, O FALLON, MO 63368-1504
(314) 477-3324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021010459
MO
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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