MR. JOHN JOSEPH BRUCKLIER MSW NPI 1780902122

NPI Information

  • NPI: 1780902122
  • Provider Name: MR. JOHN JOSEPH BRUCKLIER, MSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 42 KLONDIKE
    REPUBLIC, WA
    ZIP 99166
  • Phone: (509) 775-3341

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NPI Details

MR. John Joseph Brucklier, MSW is a mental health counselor in Republic, WA. MR. John Joseph Brucklier, MSW NPI is 1780902122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

42 KLONDIKE
REPUBLIC, WA
ZIP 99166-266
Phone: (509) 775-3341
Fax: (509) 775-2937

The enumeration date for this NPI number is 5/10/2010 and was last updated on 5/10/2010.

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
1101YM0800XCounselorMental HealthRC00052748WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RC00053748OTHERWASHINGTONDEPARTMENT OF HEALTH

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: 3/30/2025

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