BRUCE LANE GORDEN

SAN DIEGO, CA
NPI1477703635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT17833)
Enumeration Date2008-09-24
Last Update Date2008-09-24
Business Address
-- BRUCE LANE GORDEN MFT
2333 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108-3607
Phone number: 619-298-8722
Mailing Address
-- BRUCE LANE GORDEN MFT
2333 CAMINO DEL RIO S STE 250
SAN DIEGO, CA 92108-3607
Phone number: 619-298-8722