Individual
SAMUEL J BULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2019 RAMBLING RD, KALAMAZOO, MI 49008-1630
(269) 345-0909
Mailing address
1416 SHERIDAN DR, KALAMAZOO, MI 49001-4430
(616) 706-0646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017078
MI
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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