Individual
MRS. VICKI LINDSAY BULLWINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
920 BOONE ST, TUPELO, MS 38804-5908
(662) 844-3531
(662) 844-1757
Mailing address
127 AUTUMN GLENN RD, SALTILLO, MS 38866-9582
(662) 869-5143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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