Individual
BRYAN LINN BRUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4055 VALLEY COMMONS DR STE F-3, BOZEMAN, MT 59718-6432
(218) 464-8233
Mailing address
11925 ANTELOPE VALLEY RD, THREE FORKS, MT 59752-9736
(121) 846-4823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-62844
MT
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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