Individual
MS. LORETTA ANN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
912 BROWN CREST ROAD, BURLESON, TX 76028
(817) 291-5739
(817) 426-4049
Mailing address
912 BROWN CREST ROAD, BURLESON, TX 76028
(817) 291-5739
(817) 426-4049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11509494
CAQH
—
01
—
6658LC
BLUE CROSS BLUE SHIELD
TX
01
—
7225457
AETNA
—
Enumeration date
09/14/2006
Last updated
07/08/2007
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