Individual
CHRISTOPHER L BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1309 E 5TH ST, LUMBERTON, NC 28358-6031
(910) 739-1666
(910) 739-6822
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861870149
—
NC
Enumeration date
05/07/2015
Last updated
10/17/2022
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