Individual
JEREMIAH BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
113 BARTON MILL RD APT 2H, CORBIN, KY 40701-2921
(606) 627-3595
(606) 385-1853
Mailing address
113 BARTON MILL RD APT 2H, CORBIN, KY 40701-2921
(606) 627-3595
(606) 385-1853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
304165
KY
Other
Enumeration date
08/30/2021
Last updated
04/17/2026
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