BRUCE GROSSMAN

TAOS, NM
NPI1588674857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  190)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
-- BRUCE GROSSMAN LPCC
631 KIT CARSON RD
TAOS, NM 87571-6452
Phone number: 505-758-7835
Mailing Address
-- BRUCE GROSSMAN LPCC
631 KIT CARSON RD
TAOS, NM 87571-6452
Phone number: 505-758-7835