Larry Ruben Bullard, ASW
Larry Ruben Bullard, ASW is a Mental Health Counselor in LA Verne, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
1350 3rd StLA Verne, CA 91750-5201
Phone: (909) 596-5921
Fax: (909) 596-7583
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence ASW35370 (CA) |
|---|
Record details
| NPI number | 1699116897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ASW |
| Sole proprietor | No |
| NPI enumerated | July 16, 2013 |
| Last updated in NPPES | July 16, 2013 |
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