Individual
MRS. YOLANDA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
10158 ALLEN RD, ALLEN PARK, MI 48101-1216
(313) 333-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014664
MI
101YP2500X
Professional Counselor
6401014664
MI
Other
Enumeration date
10/15/2014
Last updated
07/18/2019
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