Jeremiah Bullard

NPI #1801563556 in Corbin, Kentucky

Provider Information

NPI Number
1801563556
Entity Type
Individual
Name
Jeremiah Bullard
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Aug 30, 2021
Last Updated
Aug 30, 2021

Practice Location

Address
14892 N US HIGHWAY 25 E STE 3
City
Corbin
ZIP Code
40701-6190
Phone
(606) 526-9348

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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