Individual
ANITA MARIE BRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8296 OLD COURTHOUSE RD, SUITE C, VIENNA, VA 22182-3852
(703) 855-8320
Mailing address
2686 HILLSMAN ST, FALLS CHURCH, VA 22043-3343
(703) 204-1538
(877) 751-2200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002572
VA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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