Provider Demographics
NPI:1376882845
Name:BRUCE, JAMES RICHARD (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:BRUCE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 N CAUSEWAY BLVD
Mailing Address - Street 2:STE. 1410
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3527
Mailing Address - Country:US
Mailing Address - Phone:504-272-1774
Mailing Address - Fax:
Practice Address - Street 1:3500 N CAUSEWAY BLVD
Practice Address - Street 2:STE. 1410
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3527
Practice Address - Country:US
Practice Address - Phone:504-272-1774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4722101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional