MR. Matt Kevin Bulloch, L.P.C. NCC
NPI #1457526337 in Cedar City, Utah
Provider Information
- NPI Number
- 1457526337
- Entity Type
- Individual
- Name
- MR. Matt Kevin Bulloch, L.P.C. NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- L.P.C. NCC
- Enumeration Date
- Apr 23, 2008
- Last Updated
- Nov 11, 2009
Practice Location
- Address
- 2460 W HIGHWAY 56
- Address 2
- #5
- City
- Cedar City
- State
- Utah
- ZIP Code
- 84720-4118
- Phone
- (435) 327-2137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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