Individual
JUDD BRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
7117 OHMS LN, EDINA, MN 55439-2142
(724) 841-1877
(763) 545-8150
Mailing address
7117 OHMS LN, EDINA, MN 55439-2142
(724) 841-1877
(763) 545-8150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC04053
MN
101YM0800X
Mental Health Counselor
CC04053
MN
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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