Individual
RONALS P BULTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1260 E BUCKEYE ST, NORTH VERNON, IN 47265-8343
(812) 346-4468
(812) 346-4341
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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