BRUCE FRASER GURGANUS

SAN RAFAEL, CA
NPI1114940624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  MFT 16879)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- BRUCE FRASER GURGANUS MFT
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903-4158
Phone number: 415-499-6769
Mailing Address
-- BRUCE FRASER GURGANUS MFT
1039 CRESTON RD
BERKELEY, CA 94708-1503
Phone number: 415-499-7595