Individual provider · Type 1 NPI
Matt Kevin Bulloch, L.P.C. NCC
Professional Counselor · Cedar City, UT
NPI number
1457526337
Active
Practice location
2460 W Highway 56, #5
Cedar City, UT 84720-4118
Mailing address
1009 Ironwood Cir
Cedar City, UT 84721-5125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2785863-6004 (UT) |
| Mental Health Counselor | 101YM0800X | 2785863-6004 (UT) |
Professional Counselor: Definition to come...
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About NPI 1457526337
Matt Kevin Bulloch, L.P.C. NCC's National Provider Identifier is 1457526337, issued on Apr 23, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cedar City, UT. The record was last updated on Nov 11, 2009.