MARY BRUCE LCDCIII NPI 1104339134

NPI Information

NPI: 1104339134
Provider Name: MARY BRUCE, LCDCIII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
425 MARION PIKE
COAL GROVE, OH
ZIP 45638
Phone: (740) 377-1998
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Mary Bruce, LCDCIII is an addiction (substance use disorder) counselor in Coal Grove, OH. Mary Bruce, LCDCIII NPI is 1104339134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

425 MARION PIKE
COAL GROVE, OH
ZIP 45638-960
Phone: (740) 377-1998

The enumeration date for this NPI number is 11/13/2017 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCII.161421	OHIO	No
2	171M00000X	Case Manager/Care Coordinator				No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCIII.161773		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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