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MR. JON BRUCE

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1255880050

Individual Registrant:
MR. JON  BRUCE 
Gender: M
Sole Proprietor

Location and contact information for practice:
333 N. LA GRANGE ROAD VILLAGE MARKET, LA GRANGE PARK, IL 60526-2539 US
Tel: 708-745-5277  Fax: --

Contact information for business:
117 SAWYER AVE  LA GRANGE, IL 60525-2539 US
Tel: --  Fax: --

Registration Information:
NPI: 1255880050
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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