Individual
BRUCE WESLEY BUIRKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC I
Contact information
Practice address
4347 W NORTHWEST HWY, # 120-162, DALLAS, TX 75220-3864
(214) 350-7289
Mailing address
3767 FOREST LN, SUITE # 124, PMB # 1246, DALLAS, TX 75244-7100
(214) 497-8389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
67092
TX
101YP2500X
Professional Counselor
Primary
67092
TX
106H00000X
Marriage & Family Therapist
67092
TX
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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