Doctor Name: | MR. BRUCE ORRIAN STEELE |
NPI Number: | 1023336401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | COUNSELOR |
License Number: | 1479359 |
Business Practice Address: | 3285 E Sparrow Ave Flagstaff, AZ - 860047794 |
Business Phone Number: | 9287734110 |
Business Fax Number: | |
Mailing Address: | 3285 E Sparrow Ave, FLAGSTAFF |
State: | AZ |
Postal Code: | 860047794 |
Phone Number: | 9287734110 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2010 |
NPI Last Update Date: | 05/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 1479359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |