Jennifer E Bullard Ma, Lpc, PC

NPI #1497064745 in Mansfield, Texas

Provider Information

NPI Number
1497064745
Entity Type
Organization
Organization Name
Jennifer E Bullard Ma, Lpc, PC
Primary Specialty
Counselor - Professional
Enumeration Date
Oct 5, 2010
Last Updated
Oct 5, 2010

Practice Location

Address
1751 BROAD PARK CIR S
Address 2
SUITE 207
State
Texas
ZIP Code
76063-7826
Phone
(817) 291-4564

Authorized Official

Name
MS. JENNIFER E BULLARD, MA, LPC-S
Title
PRESIDENT
Phone
(817) 291-4564

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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