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Leah M Bruce, LPC, SAC

Counselor, Professional in Mequon, WI. Individual provider (NPI-1).

NPI number1063802403
StatusActive
Last updated in NPPESMar 5, 2026

Details

NPI
1063802403
Entity type
Individual (NPI-1)
Name
Leah M Bruce
Credential
LPC, SAC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 23, 2015
Certification date
Mar 5, 2026
Last updated
Mar 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6371-125WIYes
101YP2500X Counselor, Professional6401224378MI

Practice location

11124 N Cedarburg Rd Ste 150
Mequon, WI 53092-4362

Phone 616-318-0066

Mailing address

11124 N Cedarburg Rd Ste 150
Mequon, WI 53092-4362

Phone 616-318-0066

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