Individual provider · Type 1 NPI

Theresa Elizabeth Bullard, C A S II

Addiction (Substance Use Disorder) Counselor · San Jacinto, CA

NPI number 1336327352 Active

Practice location

2220 Girard St
San Jacinto, CA 92583-5301

Call (951) 925-8450 Map

Fax (951) 658-6686

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336327352

Theresa Elizabeth Bullard, C A S II's National Provider Identifier is 1336327352, issued on Jan 31, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jacinto, CA. The record was last updated on Jan 31, 2008.