JASON RAY BULLARD-BATISTE

BLOOMINGTON, IN
NPI1821509761
Professional NameJR BULLARD-BATISTE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34010130A)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: LA  12586)
Enumeration Date2017-10-18
Last Update Date2025-09-04
Business Address
Dr. JASON RAY BULLARD-BATISTE DSW, LCSW-BACS
750 S GARRISON CHAPEL RD
BLOOMINGTON, IN 47403-9604
Phone number: 504-400-4204
Mailing Address
Dr. JASON RAY BULLARD-BATISTE DSW, LCSW-BACS
750 S GARRISON CHAPEL RD
BLOOMINGTON, IN 47403-9604
Phone number: 504-400-4204