Individual
MRS. JULIE ANNA BULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 MONITOR DRIVE, PARK CITY, UT 84060
(801) 243-0236
Mailing address
833 E 9400 S, SANDY, UT 84094-3655
(801) 566-2556
(801) 566-2639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
284563-3501
UT
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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