Individual
MR. BRUCE BARDWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
105 NW 1ST STREET, COUPEVILLE, WA 98239
(360) 682-4038
(360) 678-3636
Mailing address
516 TASMAN PL, COUPEVILLE, WA 98239-4016
(360) 678-4368
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00000830
WA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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