Organization
BONNIE LEJEUNE BULLER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE LEJEUNE BULLER LCSW (OWNER)
(225) 663-0205
Entity
Organization
Contact information
Practice address
207 N SERVICE RD E, PMB 184, RUSTON, LA 71270-2805
(225) 663-0205
Mailing address
207 N SERVICE RD E, PMB 184, RUSTON, LA 71270-2805
(225) 663-0205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11837
LA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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