Individual provider · Type 1 NPI
Bruce Barry Carson
Mental Health Counselor · New York, NY
NPI number
1457629305
Active
Practice location
1727 Amsterdam Ave
New York, NY 10031-4611
Fax (212) 694-9230
Mailing address
1945 3rd Ave
New York, NY 10029-4008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1457629305
Bruce Barry Carson's National Provider Identifier is 1457629305, issued on Dec 7, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Dec 7, 2011.