Individual provider · Type 1 NPI
Brian John Bulemore, LPC, NCC, CADC-III
Professional Counselor · Bend, OR
NPI number
1609135136
Active
Practice location
115 NW Oregon Ave, Suite 20
Bend, OR 97701-2741
Fax (888) 770-8838
Mailing address
PO Box 1736
Bend, OR 97709-1736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06-03-61 (OR) |
| Professional Counselor Primary | 101YP2500X | C1953 (OR) |
Professional Counselor: Definition to come...
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About NPI 1609135136
Brian John Bulemore, LPC, NCC, CADC-III's National Provider Identifier is 1609135136, issued on May 3, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on May 3, 2012.