Individual
BRUCE WAYNE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 C1 S. MADISON BLVD, ROXBORO, NC 27573
(336) 599-8366
(336) 322-6168
Mailing address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
(919) 942-2126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1977
NC
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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