JEREMIAH BULLARD

CORBIN, KY
NPI1801563556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-30
Last Update Date2021-08-30
Business Address
JEREMIAH BULLARD
14892 N US HIGHWAY 25 E STE 3
CORBIN, KY 40701-6190
Phone number: 606-526-9348
Mailing Address
JEREMIAH BULLARD
14892 N US HIGHWAY 25 E STE 3
CORBIN, KY 40701-6190
Phone number: 606-526-9348