Individual provider · Type 1 NPI

Michelle Diane Bullard

Marriage & Family Therapist · San Rafael, CA

NPI number 1679773030 Active

Practice location

1330 Lincoln Ave, 201
San Rafael, CA 94901-2120

Mailing address

315 C St
San Rafael, CA 94901-4918

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1679773030

Michelle Diane Bullard's National Provider Identifier is 1679773030, issued on Jul 23, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Rafael, CA. The record was last updated on Jul 23, 2007.