| Doctor Name: | MR. BRUCE STEVEN TRISKA |
| NPI Number: | 1083819163 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 18874 |
| Business Practice Address: | 600 Parker Sq Suite 290b Flower Mound, TX - 750287427 |
| Business Phone Number: | 2145132100 |
| Business Fax Number: | 2149604254 |
| Mailing Address: | 600 Parker Sq, Suite 290b FLOWER MOUND |
| State: | TX |
| Postal Code: | 750287427 |
| Phone Number: | 2145132100 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 18874 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |