AMY CORRINE BULLARD NPI 1245863422

NPI Information

NPI: 1245863422
Provider Name: AMY CORRINE BULLARD
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2120 W WILLIAMS ST STE 1
LONG BEACH, CA
ZIP 90810
Phone: (562) 388-8118
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Amy Corrine Bullard is an addiction (substance use disorder) counselor in Long Beach, CA. Amy Corrine Bullard NPI is 1245863422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2120 W WILLIAMS ST STE 1
LONG BEACH, CA
ZIP 90810-617
Phone: (562) 388-8118

The enumeration date for this NPI number is 2/17/2020 and was last updated on 2/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C036011015	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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