Brule Counseling, Llc

NPI 1053757252 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1053757252
Enumeration Date 05/14/2013
Last Updated 05/14/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NICOLE BOSUSTOW NICOLE
Position CLINICAL PSYCHOLOGIST
Phone (541) 953-3929
Fax (541) 343-2663
Practice Location
1210 PEARL ST
EUGENE OR, 97401-3573, US
Phone (541) 953-3929
Fax (541) 343-2663
Business Location
1210 PEARL ST
EUGENE OR, 97401-3573, US
Phone (541) 953-3929
Fax (541) 343-2663
Toxanomy
Taxonomy Code 251S00000X
License State Oregon
License Number 1832
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According to our database, Brule Counseling, Llc NPI is 1053757252, taxonomy code is 251S00000X and license number is 1832, license state is located at Oregon. Brule Counseling, Llc physically located at 1210 Pearl St, Eugene OR, 97401-3573. NPI Number 1033115704 has the healthcare provider type.

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1053757252 NPI number is provided on an as is basis without warranty of any kind. 1053757252 is maintained by the National Plan & Provider Enumeration System. The contents of Brule Counseling, Llc are for informational purposes only.