Individual provider · Type 1 NPI
Larry Ruben Bullard, ASW
Mental Health Counselor · La Verne, CA
NPI number
1699116897
Active
Practice location
1350 3rd St
La Verne, CA 91750-5201
Fax (909) 596-7583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | ASW35370 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1699116897
Larry Ruben Bullard, ASW's National Provider Identifier is 1699116897, issued on Jul 16, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Verne, CA. The record was last updated on Jul 16, 2013.