Individual
MR. MATTHEW GLENN BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8285
(931) 647-2978
Mailing address
118 UNION ST, CLARKSVILLE, TN 37040-5115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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