Individual provider · Type 1 NPI

Elizabeth Bullard

Professional Counselor · Waterbury, CT

NPI number 1144817537 Active

Practice location

255 Bank St
Waterbury, CT 06702-2219

Fax (203) 759-0566

Mailing address

29 Albion St
Waterbury, CT 06705-1946

Other practice locations

  • 29 Albion St, Waterbury, CT 06705-1946 · (203) 441-1256

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X4383 (CT)
Professional Counselor Primary 101YP2500X5123 (CT)

Professional Counselor: Definition to come...

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About NPI 1144817537

Elizabeth Bullard's National Provider Identifier is 1144817537, issued on Dec 31, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waterbury, CT. The record was last updated on Nov 23, 2021.