Individual
DR. BRUCE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
525 S MAIN ST, UPLAND, IN 46989-9101
(765) 298-9315
Mailing address
525 S MAIN ST, UPLAND, IN 46989-9101
(765) 997-1945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000465A
IN
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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