person
Mr. Bruce Willard Osborne JR., LPC
Professional Counselor in La Grange, Kentucky
NPI 1710938782

Bruce Willard Osborne JR. is a Professional Counselor based in La Grange, KY and is specialized in Professional. Bruce Willard Osborne JR. practices in La Grange, KY and has the professional credentials of LPC. The NPI Number for Bruce Willard Osborne JR. is 1710938782 and holds a License No. KY-1524 (Kentucky).

The current practice location address for Bruce Willard Osborne JR. is 1800 Zhale Smith Road, La Grange, KY and can be reached out via phone at 502-264-1514 and via fax at 502-371-7550. You can also correspond with Bruce Willard Osborne JR. through the mailing address at P O BOX 514, LA GRANGE, KY - 40031 (mailing address contact number: 502-264-1514).

Location: 1800 Zhale Smith Road, La Grange, KY, 40031
person
Provider Profile Details
NPI Number
1710938782
Provider Name
Bruce Willard Osborne JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1800 Zhale Smith Road, La Grange, KY, 40031
Phone Number
502-264-1514
Fax Number
502-371-7550
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
283910000 01 TN MAGELLAN
4058210 01 TN BLUE CROSS BLUE SHIELD
230204 01 TN OPTUM EAP
283910000 01 TN AETNA
5441054 05 TN
11539066 01 TN CAQH
institution
Provider Business Practice Location Address Details
Address
1800 Zhale Smith Road
City
State
Zip
40031
Phone Number
502-264-1514
Fax Number
502-371-7550
person
Provider Business Mailing Address Details
Address
1800 Zhale Smith Road
City
State
Zip
40031
Phone Number
502-264-1514
Fax Number
502-371-7550
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
KY-1524 (Kentucky)
Definition
Definition to come...
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