Doctor Name: | MRS. LEIGH ERICA BULLION |
NPI Number: | 1508041989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC, MAC |
License Number: | 6793 |
Business Practice Address: | 7700 Alabama Ave Bldg 1947 Fort Polk, LA - 714595401 |
Business Phone Number: | 3375318932 |
Business Fax Number: | |
Mailing Address: | 3804 Castle Rd, ALEXANDRIA |
State: | LA |
Postal Code: | 713033212 |
Phone Number: | 3186136824 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2008 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6793 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |