Individual
STEPHEN M. BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV., MSW/LCSW
Contact information
Practice address
240 N EGAN AVE, BURNS, OR 97720-1732
(541) 501-7336
Mailing address
714 W B ST, BURNS, OR 97720-1121
(541) 501-7336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
4144
OR
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/08/2007
Last updated
02/20/2009
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