Individual
BRUCE MACBETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAS
Contact information
Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
Mailing address
1307 8TH AVE N, SAUK RAPIDS, MN 56379-2307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02667
MN
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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