Organization · Type 2 NPI

Jennifer E Bullard Ma, Lpc, PC

Professional Counselor · Mansfield, TX

NPI number 1497064745 Active

Practice location

1751 Broad Park Cir S, Suite 207
Mansfield, TX 76063-7826

Call (817) 291-4564 Map

Fax (817) 473-7787

Mailing address

5554 Amistad St
Fort Worth, TX 76137-5365

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X17244 (TX)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1497064745

Jennifer E Bullard Ma, Lpc, PC's National Provider Identifier is 1497064745, issued on Oct 5, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mansfield, TX. The record was last updated on Oct 5, 2010.