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
State
Utah
ZIP Code
84720-4118
Phone
(435) 327-2137

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Counselor - Mental HealthMental Health

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