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Amy Corrine Bullard
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1245863422

Amy Corrine Bullard is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Amy Corrine Bullard practices in Long Beach, CA. The NPI Number for Amy Corrine Bullard is 1245863422 and holds a License No. C036011015 (California).

The current practice location address for Amy Corrine Bullard is 2120 W Williams St Ste 1, Long Beach, CA and can be reached out via phone at 562-388-8118.

Location: 2120 W Williams St Ste 1, Long Beach, CA, 90810-3617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245863422
Provider Name
Amy Corrine Bullard
Credential
Provider Entity Type
Individual
Gender
Female
Address
2120 W Williams St Ste 1, Long Beach, CA, 90810-3617
Phone Number
562-388-8118
Fax Number
Provider Enumeration Date
02/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2120 W Williams St Ste 1
City
Long Beach
State
California
Zip
90810-3617
Phone Number
562-388-8118
Fax Number
person
Provider Business Mailing Address Details
Address
2120 W Williams St Ste 1
City
Long Beach
State
California
Zip
90810-3617
Phone Number
562-388-8118
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C036011015 (California)
Definition
Definition to come...
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