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Joanna Cassandra Bruckner

Counselor, Mental Health in Oswego, NY. Individual provider (NPI-1).

NPI number1366701732
StatusActive
Last updated in NPPESMay 4, 2012

Details

NPI
1366701732
Entity type
Individual (NPI-1)
Name
Joanna Cassandra Bruckner
Sex
Female
Sole proprietor
No
Enumeration date
May 4, 2012
Last updated
May 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

335 W 1st St
Oswego, NY 13126-3655

Phone 315-343-3344

Mailing address

335 W 1st St
Oswego, NY 13126-3655

Phone 315-343-3344

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