MR. Bradford Lee Bullard, LIC PROFESSIONAL COU

NPI #1013079995 in Dothan, Alabama

Provider Information

NPI Number
1013079995
Entity Type
Individual
Name
MR. Bradford Lee Bullard, LIC PROFESSIONAL COU
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LIC PROFESSIONAL COU
Enumeration Date
Dec 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
187 BELMONT DRIVE
City
Dothan
State
Alabama
ZIP Code
36305
Phone
(334) 671-1280

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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