person
Tiawana Bullock III
Counselor in San Rafael, California
NPI 1306985502

Tiawana Bullock III is a Counselor based in San Rafael, CA. Tiawana Bullock III practices in San Rafael, CA. The NPI Number for Tiawana Bullock III is 1306985502 and holds a License No. (California).

The current practice location address for Tiawana Bullock III is 555 Northgate Dr, San Rafael, CA and can be reached out via phone at 415-491-5700 and via fax at 415-491-5750.

Location: 555 Northgate Dr, San Rafael, CA, 94903
person
Provider Profile Details
NPI Number
1306985502
Provider Name
Tiawana Bullock III
Credential
Provider Entity Type
Individual
Gender
Female
Address
555 Northgate Dr, San Rafael, CA, 94903
Phone Number
415-491-5700
Fax Number
415-491-5750
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
555 Northgate Dr
City
State
Zip
94903
Phone Number
415-491-5700
Fax Number
415-491-5750
person
Provider Business Mailing Address Details
Address
555 Northgate Dr
City
State
Zip
94903
Phone Number
415-491-5700
Fax Number
415-491-5750
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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