Individual
MR. BRUCE A OLEARY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
220 RAILROAD ST SE, THERAPEUTIC SERVICES AGENCY INC, PINE CITY, MN 55063-1540
(320) 629-7600
(320) 629-7900
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(320) 629-7900
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1266
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347G00L
BCBS
MN
05
—
4310033600
—
MN
01
—
HP52412
HEALTH PARTNERS
—
Enumeration date
09/21/2005
Last updated
07/08/2007
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