Individual
DR. JASON RAY BULLARD-BATISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(317) 944-2819
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12586
LA
1041C0700X
Clinical Social Worker
Primary
34010130A
IN
Other
Enumeration date
10/18/2017
Last updated
02/18/2026
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