Individual
AMY CORRINE BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 W WILLIAMS ST STE 1, LONG BEACH, CA 90810-3617
(562) 388-8118
Mailing address
2120 W WILLIAMS ST STE 1, LONG BEACH, CA 90810-3617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C036011015
CA
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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