Individual
PAIGE C BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
101 2ND AVENUE SOUTH, HAILEY, ID 83333-8551
(928) 699-3801
Mailing address
PO BOX 2205, HAILEY, ID 83333-2205
(928) 699-3801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-98888
ID
Other
Enumeration date
09/20/2021
Last updated
12/22/2023
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