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NPI Code Detail

MEDICARE: MR. BRUCE PLAUCHE' MA, LPC

MEDICARE: MR. BRUCE PLAUCHE' MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4537LA

General Provider Information

NPI Number : 1346505880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE PLAUCHE' MA, LPC
Provider Business Mailing Address
First Line : 614 ESPLANADE STREET
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607
Country : US
Telephone Number : 337-478-4114
Fax Number : 337-562-1489
Provider Business Practice Location Address
First Line : 614 ESPLANADE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-6308
Country : US
Telephone Number : 337-478-4114
Fax Number : 337-562-1489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2012
Last Update Date : 07/11/2012

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