MR. Bruce Allen Wilson JR., MED

NPI #1326530551 in University Place, Washington

Provider Information

NPI Number
1326530551
Entity Type
Individual
Name
MR. Bruce Allen Wilson JR., MED
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
MED
Enumeration Date
Jun 4, 2018
Last Updated
Jul 16, 2021

Practice Location

Address
4113 BRIDGEPORT WAY W
Address 2
SUITE C2
ZIP Code
98466
Phone
(253) 625-3959

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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