Individual
MR. BRADFORD LEE BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC PROFESSIONAL COU
Contact information
Practice address
187 BELMONT DRIVE, DOTHAN, AL 36305
(334) 671-1280
(334) 671-0475
Mailing address
187 BELMONT DRIVE, DOTHAN, AL 36305
(334) 671-1280
(334) 671-0475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
850
AL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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