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Mr. Keith Raymond Bullard
Mental Health Counselor in Torrance, California
NPI 1851535611

Keith Raymond Bullard is a Mental Health Counselor based in Torrance, CA and is specialized in Mental Health. Keith Raymond Bullard practices in Torrance, CA. The NPI Number for Keith Raymond Bullard is 1851535611 and holds a License No. (California).

The current practice location address for Keith Raymond Bullard is 4025 W 226Th St, Torrance, CA and can be reached out via phone at 310-373-4556.

Location: 4025 W 226Th St, Torrance, CA, 90505-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851535611
Provider Name
Keith Raymond Bullard
Credential
Provider Entity Type
Individual
Gender
Male
Address
4025 W 226Th St, Torrance, CA, 90505-2340
Phone Number
310-373-4556
Fax Number
Provider Enumeration Date
04/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4025 W 226Th St
City
Torrance
State
California
Zip
90505-2340
Phone Number
310-373-4556
Fax Number
person
Provider Business Mailing Address Details
Address
4025 W 226Th St
City
Torrance
State
California
Zip
90505-2340
Phone Number
310-373-4556
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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