Individual provider · Type 1 NPI

Bruce Fraser Gurganus, MFT

Mental Health Counselor · San Rafael, CA

NPI number 1114940624 Active

Practice location

20 N San Pedro Rd Ste 2021
San Rafael, CA 94903-4158

Call (415) 499-6769 Map

Fax (415) 499-3791

Mailing address

1039 Creston Rd
Berkeley, CA 94708-1503

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	MFT 16879 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1114940624

Bruce Fraser Gurganus, MFT's National Provider Identifier is 1114940624, issued on Jul 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.