Individual
MRS. LINDA JEAN BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.H.C.
Contact information
Practice address
200 E BEACH DR, PANAMA CITY, FL 32401-3117
(850) 872-4715
Mailing address
200 E BEACH DR, PANAMA CITY, FL 32401-3117
(850) 872-4715
(850) 785-6880
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MH10807
FL
Other
Enumeration date
07/14/2011
Last updated
12/04/2014
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