Charla Renee Bullard, ATR-BC, LPAT
NPI #1942827365 in Jackson, Mississippi
Provider Information
- NPI Number
- 1942827365
- Entity Type
- Individual
- Name
- Charla Renee Bullard, ATR-BC, LPAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Art Therapist
- Credential
- ATR-BC, LPAT
- Enumeration Date
- Jul 1, 2020
- Last Updated
- Jul 1, 2020
Practice Location
- Address
- 1500 E WOODROW WILSON AVE # 117
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5116
- Phone
- (601) 362-4471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Art Therapist |
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Organizations
| Provider Name | |
|---|---|
| Mississippi Band of Choctaw Indians | AI Deep Dive |
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