Individual provider · Type 1 NPI

Melissa Bruce

Professional Counselor · Pueblo, CO

NPI number 1417483835 Active

Practice location

41 Montebello Rd Ste LL1
Pueblo, CO 81001-1379

Fax (719) 543-7104

Mailing address

41 Montebello Rd Ste 204
Pueblo, CO 81001-1379

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XLPC.0016558 (CO)

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About NPI 1417483835

Melissa Bruce's National Provider Identifier is 1417483835, issued on May 4, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pueblo, CO. The record was last updated on Nov 18, 2020.