Individual
QUINN BULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
Mailing address
808 5TH AVE, DES MOINES, IA 50309-1307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075632
IA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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