Individual provider · Type 1 NPI
Jeremiah Bullard, LPCA
Professional Counselor · Corbin, KY
NPI number
1801563556
Active
Practice location
113 Barton Mill Rd Apt 2H
Corbin, KY 40701-2921
Fax (606) 385-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 304165 (KY) |
Professional Counselor: Definition to come...
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About NPI 1801563556
Jeremiah Bullard, LPCA's National Provider Identifier is 1801563556, issued on Aug 30, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Corbin, KY. The record was last updated on Apr 17, 2026.