Individual
BENJAMIN MATTHEW BRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCCI
Contact information
Practice address
1563 MISSION ST, SAN FRANCISCO, CA 94103
(415) 762-3700
Mailing address
1563 MISSION ST, SAN FRANCISCO, CA 94103, SAN FRANCISCO, CA 94103
(415) 762-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
2401
CA
101YS0200X
School Counselor
—
—
Other
Enumeration date
02/06/2014
Last updated
03/01/2019
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