Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremiah Bullard, LPCA

Individual provider Professional Counselor · NPI 1801563556

Jeremiah Bullard, LPCA is a Professional Counselor in Corbin, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2021

Practice location Address checks out

113 Barton Mill Rd Apt 2H
Corbin, KY 40701-2921
Phone: (606) 627-3595
Fax: (606) 385-1853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 304165 (KY)

Record details

NPI number1801563556
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCA
Sole proprietorYes
NPI enumeratedAugust 30, 2021
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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