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ROBERT CLARK BOULLEMET LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1134289457

Individual Registrant:
 ROBERT CLARK BOULLEMET LPC
Gender: M
Sole Proprietor

Location and contact information for practice:
215 E 20TH ST  ANNISTON, AL 36207-3201 US
Tel: 256-236-2661  Fax: 256-236-9565

Contact information for business:
215 E 20TH ST  ANNISTON, AL 36207-3201 US
Tel: 256-236-2661  Fax: 256-236-9565

Registration Information:
NPI: 1134289457
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
AL1541

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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