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NPI Code Detail

MEDICARE: BRUCE MICHAEL JAMES ED.S.

MEDICARE:   BRUCE MICHAEL JAMES  ED.S.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor07180000118VA
2101YP2500XProfessional Counselor0701-002204VA
3106H00000XMarriage & Family Therapist0717-000248VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356459127
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE MICHAEL JAMES ED.S.
Provider Business Mailing Address
First Line : 1120 MCCONVILLE RD
Second Line : SUITE A
City : LYNCHBURG
State : VA
Zip : 24502-4534
Country : US
Telephone Number : 434-237-4652
Fax Number :
Provider Business Practice Location Address
First Line : 1120 MCCONVILLE RD
Second Line : SUITE A
City : LYNCHBURG
State : VA
Zip : 24502-4534
Country : US
Telephone Number : 434-237-4652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 09/11/2025

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Directions to “ BRUCE MICHAEL JAMES ED.S.” Practice Location

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