Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Bruce, LCDCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104339134

Mary Bruce, LCDCIII is an Addiction (Substance Use Disorder) Counselor in Coal Grove, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
3

Practice location Address checks out

425 Marion Pike
Coal Grove, OH 45638-2960
Phone: (740) 377-1998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.161773
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCII.161421 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1104339134
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDCIII
Sole proprietorNo
NPI enumeratedNovember 13, 2017
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

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