Individual
MR. BRUCE EARL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LMFT
Contact information
Practice address
200 E ALESSANDRO BLVD, #84, RIVERSIDE, CA 92508-6180
(951) 750-1120
Mailing address
5225 CANYON CREST DR, #71-114, RIVERSIDE, CA 92507-6301
(951) 750-1120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC 40994
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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