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Mr. Bruce Allen Wilson JR., MED
Mental Health Counselor in University Place, Washington
NPI 1326530551

Bruce Allen Wilson JR. is a Mental Health Counselor based in University Place, WA and is specialized in Mental Health. Bruce Allen Wilson JR. practices in University Place, WA and has the professional credentials of MED. The NPI Number for Bruce Allen Wilson JR. is 1326530551 and holds a License No. (Washington).

The current practice location address for Bruce Allen Wilson JR. is 4113 Bridgeport Way W, University Place, WA and can be reached out via phone at 253-625-3959.

Location: 4113 Bridgeport Way W, University Place, WA, 98466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326530551
Provider Name
Bruce Allen Wilson JR.
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
4113 Bridgeport Way W, University Place, WA, 98466
Phone Number
253-625-3959
Fax Number
Provider Enumeration Date
06/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4113 Bridgeport Way W
City
University Place
State
Washington
Zip
98466
Phone Number
253-625-3959
Fax Number
person
Provider Business Mailing Address Details
Address
4113 Bridgeport Way W
City
University Place
State
Washington
Zip
98466
Phone Number
253-625-3959
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Washington)
Definition
Definition to come...
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