Individual
MR. BRUCE ALAN IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
(916) 974-7851
Mailing address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
(916) 974-7851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
10/14/2016
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