Individual
ANDREA JOANN BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
473 MAIN ST, LONGMONT, CO 80501-5505
(303) 859-5108
Mailing address
1347 SOMMERSET CIR, LONGMONT, CO 80504-8711
(303) 859-5108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0021680
CO
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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