Individual
EVELYN LOUISE BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3790
Mailing address
563 LOWNDES HILL RD, GREENVILLE, SC 29607-1471
(843) 816-7040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
570542729
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570542729
—
SC
Enumeration date
10/14/2021
Last updated
10/14/2021
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