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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRUCE FRASER GURGANUS, MFT

Active Sole Proprietor

BRUCE FRASER GURGANUS, MFT is a Mental Health Counselor healthcare provider located in SAN RAFAEL, California. NPI 1114940624 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SAN RAFAEL, CA

Registration Details

NPI Number
1114940624
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2006 (20.017037529626 yrs)
Last Updated
Jul 8, 2007
License
MFT 16879 (CA)
Sole Proprietor
Yes

Practice Information

Address
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA, 949034158
Browse CA providers · Browse ZIP 94903
Phone
4154996769
Fax
4154993791
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SAN RAFAEL, CA

Name Credential NPI
DR. ANN DALE RIVO 1972574929
DR. JOEL FAY PSYD 1851317762
MARILYN MAZER LMFT 1295758209
MR. JASON LA BOU 1285743096
HASAN ALY 1275642001
NANCY M FARQUHAR PEER CASE MANAGER 1902915903
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.