person
Briyanna Bullock, MED,LPC
Professional Counselor in Evanston, Illinois
NPI 1245900034

Briyanna Bullock is a Professional Counselor based in Chicago, IL and is specialized in Professional. Briyanna Bullock practices in Evanston, IL and has the professional credentials of MED,LPC. The NPI Number for Briyanna Bullock is 1245900034 and holds a License No. 178017357 (Illinois).

The current practice location address for Briyanna Bullock is 636 Church St Ste 619, Evanston, IL and can be reached out via phone at 847-864-0600.

Location: 636 Church St Ste 619, Evanston, IL, 60640-1533
person
Provider Profile Details
NPI Number
1245900034
Provider Name
Briyanna Bullock
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
636 Church St Ste 619, Evanston, IL, 60640-1533
Phone Number
847-864-0600
Fax Number
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
636 Church St Ste 619
City
State
Zip
60201-4586
Phone Number
847-864-0600
Fax Number
person
Provider Business Mailing Address Details
Address
636 Church St Ste 619
City
State
Zip
60201-4586
Phone Number
847-864-0600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178017357 (Illinois)
Definition
Definition to come...
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