Individual
MR. BRUCE ANDREW LILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
153 BALTIMORE ST, CUMBERLAND, MD 21502-2301
(301) 759-2852
Mailing address
700 ADAMS AVE, CUMBERLAND, MD 21502-3302
(301) 759-2852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00386
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6902000000873B
BLUE CROSSBLUE SHIELD
MD
Enumeration date
04/24/2007
Last updated
07/08/2007
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