Individual
GENE N BROSIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C., B.C.B.A.
Contact information
Practice address
935 ROUTE 522, SELINSGROVE, PA 17870-9714
(570) 412-3046
Mailing address
31 WALNUT ST, MILTON, PA 17847-1217
(570) 412-3046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002400
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50037501
INDIVIDUAL
PA
Enumeration date
08/12/2006
Last updated
07/29/2015
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