Individual
JOHN ROBERT BULPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(253) 227-3802
Mailing address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(253) 227-3802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60999011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
11/03/2020
Last updated
11/03/2020
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