Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE CONRAD ST. THOMAS, ED.,D.
Active Sole ProprietorProfessional Counselor · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1497086714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2010 (16.253687544637 yrs)
- Last Updated
- Jan 26, 2010
- Licenses
-
CC458 (ME)MF301 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
545 WESTBROOK STSOUTH PORTLAND, ME, 041061909Browse ME providers · Browse ZIP 04106
- Phone
- 2077724789
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Marriage & Family Therapist
Other Professional Counselor Providers in SOUTH PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MS. JANICE L KIENZLE | LCPC | 1053343897 |
| MRS. ANNA ELIZABETH MILLETT | L.C.P.C. NCC | 1538176367 |
| MARGARET DEROSE BRAGA | LCPC, LSW | 1760544522 |
| DR. JILL D. MCCOLLUM | PHD - LCPC | 1467518415 |
| STEPHANIE LEE CATER | LCPC | 1609906320 |
| CUE SAREMI | LCPC | 1689886483 |
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.