Individual provider · Type 1 NPI
Bradley Steven Fruit, MBA
Counselor · Portland, OR
NPI number
1447547518
Active
Practice location
55 SE Grand Ave
Portland, OR 97232
Mailing address
1080 Marina Village Pkwy, Suite 100
Alameda, CA 94501-6427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1447547518
Bradley Steven Fruit, MBA's National Provider Identifier is 1447547518, issued on Jul 8, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Mar 15, 2018.