Individual
ELIZABETH JOYCE BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17714 KINGS POINT DR STE B, CORNELIUS, NC 28031-6929
(812) 212-3253
Mailing address
8914 RAVEN PARK DR, CHARLOTTE, NC 28216-1684
(812) 212-3253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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