Individual
MRS. DONNA MCCALL BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC LPA
Contact information
Practice address
1617B OWEN DR, FAYETTEVILLE, NC 28304
(910) 484-3330
(910) 484-3301
Mailing address
1832 MORGANTON RD, FAYETTEVILLE, NC 28305
(910) 476-8611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4051
NC
103T00000X
Psychologist
Primary
1813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131XC
BCBS NC
NC
05
—
6107101
—
NC
Enumeration date
09/12/2006
Last updated
09/11/2025
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