| Doctor Name: | MRS. SANDRA M BRUFF |
| NPI Number: | 1043398928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0472 |
| Business Practice Address: | 211 N Madison St Tupelo, MS - 388043807 |
| Business Phone Number: | 6628444254 |
| Business Fax Number: | 6628444254 |
| Mailing Address: | 211 N Madison St, TUPELO |
| State: | MS |
| Postal Code: | 388043807 |
| Phone Number: | 6628444254 |
| Fax Number: | 6628444254 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |