Individual provider · Type 1 NPI
Bruce Edstrom, L.P.C., L.M.F.T.
Professional Counselor · Dallas, TX
NPI number
1972899631
Active
Practice location
9401 Lbj Fwy Ste 420
Dallas, TX 75243-4540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10870 (TX) |
| Marriage & Family Therapist | 106H00000X | 3880 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1972899631
Bruce Edstrom, L.P.C., L.M.F.T.'s National Provider Identifier is 1972899631, issued on Jun 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jun 21, 2011.