Individual
MR. BRIAN JOHN BULEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, CADC-III
Contact information
Practice address
115 NW OREGON AVE, SUITE 20, BEND, OR 97701-2741
(541) 639-4499
(888) 770-8838
Mailing address
PO BOX 1736, BEND, OR 97709-1736
(541) 639-4499
(888) 770-8838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-03-61
OR
101YP2500X
Professional Counselor
Primary
C1953
OR
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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