| Bruder Counseling Center | |
|
289 Independence Blvd Ste 221 Virginia Beach VA 23462 | |
| (757) 498-9320 | |
| (757) 498-9321 |
| Full Name | Bruder Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 289 Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Anthony H. Bruder (OWNER) |
| Authorized Official Contact | 7574989320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruder Counseling Center 289 Independence Blvd Ste 221 Virginia Beach VA 23462 Ph: (757) 498-9320 | Bruder Counseling Center 289 Independence Blvd Ste 221 Virginia Beach VA 23462 Ph: (757) 498-9320 |
| NPI Number | 1851483853 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851483853 | NPI | - | NPPES |
| 340992 | Other | VA | TRICARE GROUP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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