Bruce, Misty Dawn
Bruce, Misty Dawn is an individual health care provider with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Bruce, Misty Dawn can be contacted via phone (307) 688-5000.Contact Information
Primary practice address
501 S Burma Ave
Gillette WY 82716-3426
Phone: (307) 688-5000
Fax: (307) 688-5015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1068 | Wyoming |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 366 | Wyoming |
Profile Details
| NPI number | 1871774927 |
|---|---|
| LBN Legal business name | Bruce, Misty Dawn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Jun 30th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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