Individual
LISA MARIE BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
8809 WHALEY CIR, WILMINGTON, NC 28412-3381
(910) 746-3897
Mailing address
8809 WHALEY CIR, WILMINGTON, NC 28412-3381
(910) 746-3897
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10086A
NC
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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