Individual provider · Type 1 NPI

Vikki L. Rullman, QMHP, CADC I

Professional Counselor · Bend, OR

NPI number 1366500787 Active

Practice location

2577 NE Courtney Drive
Bend, OR 97701

Fax (541) 322-7565

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X11-06-66 (OR)
Professional Counselor Primary 101YP2500XC3419 (OR)

Professional Counselor: Definition to come...

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About NPI 1366500787

Vikki L. Rullman, QMHP, CADC I's National Provider Identifier is 1366500787, issued on Dec 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on May 19, 2014.