Provider Demographics
NPI:1043526999
Name:PARSONS, BRUCE MARTIN (MFT, LCADC)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:MARTIN
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MFT, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2162 FALCON POINTE LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1593
Mailing Address - Country:US
Mailing Address - Phone:702-353-1148
Mailing Address - Fax:702-568-7554
Practice Address - Street 1:220 E HORIZON DR STE G
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8001
Practice Address - Country:US
Practice Address - Phone:702-568-5855
Practice Address - Fax:702-568-7554
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-28
Last Update Date:2010-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV118101YA0400X
NV1072106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)