Individual provider · Type 1 NPI
Julie Anna Bullen, LCSW
Mental Health Counselor · Park City, UT
NPI number
1174904924
Active
Practice location
2300 Monitor Drive
Park City, UT 84060
Mailing address
833 E 9400 S
Sandy, UT 84094-3655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 284563-3501 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1174904924
Julie Anna Bullen, LCSW's National Provider Identifier is 1174904924, issued on Jun 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Park City, UT. The record was last updated on Jun 17, 2015.