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Individual

MR. BRUCE SANFORD EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT, LPC, CSAC

Contact information

Practice address
11606 GORDON SCHOOL RD, RICHMOND, VA 23236-2513
(804) 378-6733
(804) 365-8575
Mailing address
11606 GORDON SCHOOL RD, RICHMOND, VA 23236-2513
(804) 378-6733
(804) 365-8575

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
VA
101YP2500X
Professional Counselor
0701002999
VA
106H00000X
Marriage & Family Therapist
0717000980
VA
106H00000X
Marriage & Family Therapist
Primary
770
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54-12145
VA
Enumeration date
11/30/2006
Last updated
09/11/2025
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