Individual provider · Type 1 NPI

Michael James Bruno Sr., CADC I, CRM

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1821456815 Active

Practice location

548 SE Jackson St
Roseburg, OR 97470-2709

Fax (541) 673-5642

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15-11-14U (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1821456815

Michael James Bruno Sr., CADC I, CRM's National Provider Identifier is 1821456815, issued on Feb 4, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Apr 18, 2023.