| Susan M. Bulsza, Lpc, Llc | |
|
1304 Azalea Ct Ste A Myrtle Beach SC 29577-5723 | |
| (843) 449-6261 | |
| (843) 449-8171 |
| Full Name | Susan M. Bulsza, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1304 Azalea Ct Ste A, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Susan M. Bulsza (MANAGER) |
| Authorized Official Contact | 8439035053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M. Bulsza, Lpc, Llc Po Box 50046 Myrtle Beach SC 29579-0001 Ph: (843) 903-5053 | Susan M. Bulsza, Lpc, Llc 1304 Azalea Ct Ste A Myrtle Beach SC 29577-5723 Ph: (843) 449-6261 |
| NPI Number | 1972821577 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 05/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972821577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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