Individual provider · Type 1 NPI

John Joseph Brucklier, MSW

Mental Health Counselor · Republic, WA

NPI number 1780902122 Active

Practice location

42 Klondike
Republic, WA 99166-1266

Call (509) 775-3341 Map

Fax (509) 775-2937

Mailing address

PO Box 1120
Republic, WA 99166-1120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00052748 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1780902122

John Joseph Brucklier, MSW's National Provider Identifier is 1780902122, issued on May 10, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Republic, WA. The record was last updated on May 10, 2010.