Individual provider · Type 1 NPI
Theresa Grace Bulan, MSW
Addiction (Substance Use Disorder) Counselor · Boston, MA
NPI number
1083266936
Active
Practice location
170 Morton St
Boston, MA 02130-3735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1083266936
Theresa Grace Bulan, MSW's National Provider Identifier is 1083266936, issued on Jul 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Jul 11, 2019.