| Doctor Name: | BRUCE MCMEEKIN |
| NPI Number: | 1174871487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RRW |
| License Number: | |
| Business Practice Address: | 1604 S Santa Fe Ave Suite 403 San Jacinto, CA - 925835062 |
| Business Phone Number: | 9516542026 |
| Business Fax Number: | 9516549927 |
| Mailing Address: | 3230 Waring Ct, Suite A OCEANSIDE |
| State: | CA |
| Postal Code: | 920564509 |
| Phone Number: | 7603057528 |
| Fax Number: | 7605094410 |
| NPI Enumeration Date: | 08/16/2012 |
| NPI Last Update Date: | 10/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |