Larry G Bullard, MS
Counselor, Mental Health in Moulton, AL. Individual provider (NPI-1).
NPI number1013075845
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013075845
- Entity type
- Individual (NPI-1)
- Name
- Larry G Bullard
- Credential
- MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
317 Hospital StMoulton, AL 35650-1269
Phone 256-355-6105
Mailing address
1316 Somerville Rd SeSuite 1
Decatur, AL 35601-4305
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All 27 Mental Health Counselor providers in Moulton · All 219 providers in Moulton
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