Individual provider · Type 1 NPI
Bruce Wade Selvage Jr., MS
Professional Counselor · Cleveland, TN
NPI number
1851420467
Active
Practice location
1690 Greendale Dr NE
Cleveland, TN 37323-5920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1882 (TN) |
Professional Counselor: Definition to come...
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About NPI 1851420467
Bruce Wade Selvage Jr., MS's National Provider Identifier is 1851420467, issued on Mar 2, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cleveland, TN. The record was last updated on Jul 8, 2007.