Individual
CORRY J BULKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8258 VETERANS HWY, SUITE 13, MILLERSVILLE, MD 21108-1457
(410) 768-6088
(410) 768-6444
Mailing address
8258 VETERANS HWY, SUITE 13, MILLERSVILLE, MD 21108-1457
(410) 768-6088
(410) 768-6444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7114
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420562600
—
MD
Enumeration date
04/10/2015
Last updated
09/19/2016
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