Provider Demographics
NPI:1578700209
Name:BRUCE, CHALMERS G (LPC)
Entity Type:Individual
Prefix:MR
First Name:CHALMERS
Middle Name:G
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 1:68 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3204
Mailing Address - Country:US
Mailing Address - Phone:828-775-3978
Mailing Address - Fax:
Practice Address - Street 1:68 GROVE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3204
Practice Address - Country:US
Practice Address - Phone:828-775-3978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7060101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional