Individual provider · Type 1 NPI
Bruce Conrad St. Thomas, ED., D.
Professional Counselor · South Portland, ME
NPI number
1497086714
Active
Practice location
545 Westbrook St
South Portland, ME 04106-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC458 (ME) |
| Marriage & Family Therapist | 106H00000X | MF301 (ME) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1497086714
Bruce Conrad St. Thomas, ED., D.'s National Provider Identifier is 1497086714, issued on Jan 26, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Portland, ME. The record was last updated on Jan 26, 2010.