Most Relevant Information
Provider Data
| NPI Number: | 1003009226 |
| Provider Name: | CAROL SUE BRUSCA LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 0097281 |
Most Important Dates
| Enumeration Date: | 08/21/2007 |
| Last Updated: | 06/25/2013 |
Provider Practice Location
5601 DOMINGO RD NE
ALBUQUERQUE
NM
87108
Practice Location Phone/Fax
| Phone: | 5052685295 |
| Fax: | 5052689967 |
Provider Mailing Location
4639 IDLEWILDE LN SE
ALBUQUERQUE
NM
871083421
Provider Mailing Phone/Fax
| Phone: | 5052685295 |
| Fax: | 5052689967 |