Individual
ANNALISA BULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
334 KAWAINUI ST, KAILUA, HI 96734-2403
(503) 837-8423
Mailing address
1065 SNIDOW DR, WEST LINN, OR 97068-4349
(503) 799-9771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7686
OR
Other
Enumeration date
04/27/2020
Last updated
09/23/2024
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