Provider Demographics
NPI:1164446555
Name:COURT, BRUCE D (LMFT)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:D
Last Name:COURT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2195 MILL ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:CA
Mailing Address - Zip Code:96007-3013
Mailing Address - Country:US
Mailing Address - Phone:530-378-5577
Mailing Address - Fax:
Practice Address - Street 1:2195 MILL ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:CA
Practice Address - Zip Code:96007-3013
Practice Address - Country:US
Practice Address - Phone:530-378-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC50097106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist