Individual
DR. SHAWN A. BULTSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, NCC
Contact information
Practice address
33880 COMMUNITY COLLEGE DR STE 1, SOLDOTNA, AK 99669-9234
(616) 745-4637
Mailing address
33880 COMMUNITY COLLEGE DR STE 1, SOLDOTNA, AK 99669-9234
(616) 745-4637
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
197538
AK
Other
Enumeration date
10/24/2006
Last updated
01/03/2024
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