person
Lewis A Bullock, NCC
Mental Health Counselor in Hattiesburg, Mississippi
NPI 1336371053

Lewis A Bullock is a Mental Health Counselor based in Hattiesburg, MS and is specialized in Mental Health. Lewis A Bullock practices in Hattiesburg, MS and has the professional credentials of NCC. The NPI Number for Lewis A Bullock is 1336371053 and holds a License No. 225797 (Mississippi).

The current practice location address for Lewis A Bullock is 303 Mary Magdalene Rd, Hattiesburg, MS and can be reached out via phone at 601-705-1901. You can also correspond with Lewis A Bullock through the mailing address at 303 MARY MAGDALENE RD, HATTIESBURG, MS - 39401-8196 (mailing address contact number: 601-705-1901).

Location: 303 Mary Magdalene Rd, Hattiesburg, MS, 39401-8196
person
Provider Profile Details
NPI Number
1336371053
Provider Name
Lewis A Bullock
Credential
NCC
Provider Entity Type
Individual
Gender
Male
Address
303 Mary Magdalene Rd, Hattiesburg, MS, 39401-8196
Phone Number
601-705-1901
Fax Number
Provider Enumeration Date
08/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
303 Mary Magdalene Rd
City
State
Zip
39401-8196
Phone Number
601-705-1901
Fax Number
person
Provider Business Mailing Address Details
Address
303 Mary Magdalene Rd
City
State
Zip
39401-8196
Phone Number
601-705-1901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
225797 (Mississippi)
Definition
Definition to come...
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