Individual
JOAN FRANCES BULLEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LADC
Contact information
Practice address
5009 EXCELSIOR BLVD STE 134, ST LOUIS PARK, MN 55416-3049
(612) 267-1949
Mailing address
4715 CHATHAM RD NE, COLUMBIA HEIGHTS, MN 55421-3302
(612) 267-1949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301813
MN
101YM0800X
Mental Health Counselor
Primary
02027
MN
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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