Individual provider · Type 1 NPI
Bruce Patton Mindrup, PhD
Mental Health Counselor · Jerseyville, IL
NPI number
1811917875
Active
Practice location
106 Goodrich St
Jerseyville, IL 62052-2212
Fax (618) 498-4921
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 1811917875
Bruce Patton Mindrup, PhD's National Provider Identifier is 1811917875, issued on Jul 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jerseyville, IL. The record was last updated on Jul 8, 2007.