person
Mrs. Nyshaunte Marya Bullock, MED
Professional Counselor in Shreveport, Louisiana
NPI 1134391550

Nyshaunte Marya Bullock is a Professional Counselor based in Shreveport, LA and is specialized in Professional. Nyshaunte Marya Bullock practices in Shreveport, LA and has the professional credentials of MED. The NPI Number for Nyshaunte Marya Bullock is 1134391550 and holds a License No. (Louisiana).

The current practice location address for Nyshaunte Marya Bullock is 1310 N Hearne Ave, Shreveport, LA and can be reached out via phone at 318-676-5135 and via fax at 318-676-5137. You can also correspond with Nyshaunte Marya Bullock through the mailing address at 1310 N HEARNE AVE, SHREVEPORT, LA - 71107-6516 (mailing address contact number: 318-676-5135).

Location: 1310 N Hearne Ave, Shreveport, LA, 71107-6516
person
Provider Profile Details
NPI Number
1134391550
Provider Name
Nyshaunte Marya Bullock
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
1310 N Hearne Ave, Shreveport, LA, 71107-6516
Phone Number
318-676-5135
Fax Number
318-676-5137
Provider Enumeration Date
03/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1310 N Hearne Ave
City
State
Zip
71107-6516
Phone Number
318-676-5135
Fax Number
318-676-5137
person
Provider Business Mailing Address Details
Address
1310 N Hearne Ave
City
State
Zip
71107-6516
Phone Number
318-676-5135
Fax Number
318-676-5137
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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