MRS. Jessica Michelle Bulthouse, M.S., LCPC
NPI #1659620458 in Charleston, Illinois
Provider Information
- NPI Number
- 1659620458
- Entity Type
- Individual
- Name
- MRS. Jessica Michelle Bulthouse, M.S., LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- M.S., LCPC
- Enumeration Date
- Sep 7, 2012
- Last Updated
- May 18, 2015
Practice Location
- Address
- 304 8TH ST
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-1504
- Phone
- (217) 508-7415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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