Individual provider · Type 1 NPI
Gordon Scott Bruin, M.A.
Addiction (Substance Use Disorder) Counselor · Provo, UT
NPI number
1295037521
Active
Practice location
151 S University Ave Ste 3200
Provo, UT 84601-4427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 370578-6004 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295037521
Gordon Scott Bruin, M.A.'s National Provider Identifier is 1295037521, issued on Nov 18, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on Nov 18, 2010.