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NPI Code Detail

MEDICARE: WHITNEY ALLIANA BULNA LCSW

MEDICARE: WHITNEY ALLIANA BULNA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker61214TX
2104100000XSocial Worker61214TX

General Provider Information

NPI Number : 1417327511
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY ALLIANA BULNA LCSW
Provider Business Mailing Address
First Line : 2106 NARROW GLEN PKWY
Second Line :
City : AUSTIN
State : TX
Zip : 78744-7941
Country : US
Telephone Number : 973-234-6180
Fax Number :
Provider Business Practice Location Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-472-4059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2015
Last Update Date : 12/17/2021

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Directions to “ WHITNEY ALLIANA BULNA LCSW” Practice Location

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