Individual provider · Type 1 NPI

Dyamond Bruce

Mental Health Counselor · Chicago, IL

NPI number 1255004156 Active

Practice location

721 N Lasalle Dr
Chicago, IL 60654

Call (312) 655-7167 Map

Mailing address

611 Larkspur Ln
Matteson, IL 60443-1771

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255004156

Dyamond Bruce's National Provider Identifier is 1255004156, issued on Jul 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jul 27, 2021.