person
Saundra Gayle Bullock, LISAC
Addiction (Substance Use Disorder) Counselor in Sacaton, Arizona
NPI 1316125958

Saundra Gayle Bullock is an Addiction (Substance Use Disorder) Counselor based in Sacaton, AZ and is specialized in Addiction (Substance Use Disorder). Saundra Gayle Bullock practices in Sacaton, AZ and has the professional credentials of LISAC. The NPI Number for Saundra Gayle Bullock is 1316125958 and holds a License No. LISAC-11536 (Arizona).

The current practice location address for Saundra Gayle Bullock is 483 West Seedfarm Road, Sacaton, AZ and can be reached out via phone at 602-528-7146 and via fax at 602-528-1374.

Location: 483 West Seedfarm Road, Sacaton, AZ, 85247-0038
person
Provider Profile Details
NPI Number
1316125958
Provider Name
Saundra Gayle Bullock
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
483 West Seedfarm Road, Sacaton, AZ, 85247-0038
Phone Number
602-528-7146
Fax Number
602-528-1374
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LISC-11536 05 AZ
institution
Provider Business Practice Location Address Details
Address
483 West Seedfarm Road
City
State
Zip
85247-0038
Phone Number
602-528-7146
Fax Number
602-528-1374
person
Provider Business Mailing Address Details
Address
483 West Seedfarm Road
City
State
Zip
85247-0038
Phone Number
602-528-7146
Fax Number
602-528-1374
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-11536 (Arizona)
Definition
Definition to come...
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