Individual
NATHAN BULTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LLMFT
Contact information
Practice address
6630 GRAN VIA CT NE, ROCKFORD, MI 49341-9692
(616) 240-3023
Mailing address
6630 GRAN VIA CT., ROCKFORD, MI 49341-9692
(616) 240-3023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011996
MI
106H00000X
Marriage & Family Therapist
4101006529
MI
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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