Individual provider · Type 1 NPI

Bryce Prudhomme

Mental Health Counselor · Moorhead, MN

NPI number 1336530682 Active

Practice location

891 Belsly Blvd
Moorhead, MN 56560-5055

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336530682

Bryce Prudhomme's National Provider Identifier is 1336530682, issued on Feb 9, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moorhead, MN. The record was last updated on Feb 9, 2015.