Individual
MRS. MISTY DAWN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
201 W LAKEWAY RD STE 700, GILLETTE, WY 82718-6346
(307) 387-9850
(307) 387-9860
Mailing address
201 W LAKEWAY RD STE 1004, GILLETTE, WY 82718-6349
(307) 387-9850
(307) 387-9890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1068
WY
101YM0800X
Mental Health Counselor
366
WY
Other
Enumeration date
11/16/2007
Last updated
08/28/2024
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