Organization
BULMAHN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL BULMAHN LCSW (OWNER)
(260) 255-6376
Entity
Organization
Contact information
Practice address
2422 LAKE AVE, FORT WAYNE, IN 46805-5406
(260) 255-6376
Mailing address
2422 LAKE AVE, FORT WAYNE, IN 46805-5406
(260) 255-6376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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