STACI BULLARD

NORCROSS, GA
NPI1760725444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: GA  003731)
Enumeration Date2013-04-01
Last Update Date2013-04-01
Business Address
STACI BULLARD LAPC
4530 S BERKELEY LAKE RD
NORCROSS, GA 30071-1660
Phone number: 678-680-6722
Mailing Address
STACI BULLARD LAPC
4530 S BERKELEY LAKE RD
NORCROSS, GA 30071-1660
Phone number: