Organization
GLB HEALTH AND ASSESSMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LOCKLEAR BULLARD (OWNER)
(910) 997-2620
Entity
Organization
Contact information
Practice address
393 W US HIGHWAY 74, ROCKINGHAM, NC 28379-3397
(910) 997-2620
(910) 997-2622
Mailing address
PO BOX 472, ROCKINGHAM, NC 28380-0472
(910) 997-2620
(910) 997-2622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
03/29/2007
Last updated
07/17/2008
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