Individual
JOSHUA PAUL BULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(337) 514-5181
Mailing address
113 FLAGG PL STE B&D, LAFAYETTE, LA 70508-7025
(337) 573-5884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10141
LA
101YM0800X
Mental Health Counselor
PLC10141
LA
Other
Enumeration date
07/01/2024
Last updated
10/01/2024
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