Individual
ROBERT CLARK BOULLEMET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
215 E 20TH ST, ANNISTON, AL 36207-3201
(256) 236-2661
(256) 236-9565
Mailing address
215 E 20TH ST, ANNISTON, AL 36207-3201
(256) 236-2661
(256) 236-9565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1541
AL
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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