Nathan Bultman, LPC, LLMFT

NPI #1518393792 in Rockford, Michigan

Provider Information

NPI Number: 1518393792
Entity Type: Individual
Name: Nathan Bultman, LPC, LLMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC, LLMFT
Enumeration Date: Sep 19, 2013
Last Updated: Sep 19, 2013

Practice Location

Address: 6630 GRAN VIA CT NE
City: Rockford
State: Michigan
ZIP Code: 49341-9692
Phone: (616) 240-3023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Marriage & Family Therapist	106H00000X

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