Individual
BENJAMIN BRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W 8TH AVE STE 434C, SPOKANE, WA 99204-2318
(509) 455-7580
Mailing address
105 W 8TH AVE STE 434C, SPOKANE, WA 99204-2318
(509) 455-7580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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