John H Bulthouse JR.
NPI #1184210791 in Charleston, Illinois
Provider Information
- NPI Number
- 1184210791
- Entity Type
- Individual
- Name
- John H Bulthouse JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Dec 17, 2020
- Last Updated
- Dec 17, 2020
Practice Location
- Address
- 655 W LINCOLN AVE STE 8
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2461
- Phone
- (217) 254-6582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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