Charles R Bulman, LADC, LPCC | |
4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110-3697 | |
(651) 493-8150 | |
(651) 493-9335 |
Full Name | Charles R Bulman |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4505 White Bear Pkwy Ste 1500, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205252558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303359 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | CC1392 (Minnesota) | Primary |
Entity Name | Alliance For Healing Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275967374 PECOS PAC ID: 3173832722 Enrollment ID: O20151021001439 |
Mailing Address | Practice Location Address |
---|---|
Charles R Bulman, LADC, LPCC 1426 Simpson St, Saint Paul, MN 55108-2440 Ph: (612) 296-0348 | Charles R Bulman, LADC, LPCC 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110-3697 Ph: (651) 493-8150 |
Kirby Kaczor, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2025 4th St Ste 100, White Bear Lake, MN 55110 Phone: 651-212-4920 | |
Mrs. Tabitha Soderstrom, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3596 Linden Ave, White Bear Lake, MN 55110 Phone: 507-215-2459 | |
Mr. Andrew Clark Hoistad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Gun Club Rd, White Bear Lake, MN 55110 Phone: 612-644-4887 | |
Chester Mulholland, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3596 Linden Ave, White Bear Lake, MN 55110 Phone: 651-243-2484 | |
Julie Blaske, MA LADC LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 Phone: 612-241-6004 | |
Anna Schulze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4756 Banning Ave Ste 210, White Bear Lake, MN 55110 Phone: 612-454-1656 | |
Stacey Ann Feig, LPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 Prairie Rd, White Bear Lake, MN 55110 Phone: 651-373-1726 |