person
Melanie Bullock, LCPC
Mental Health Counselor in Lisle, Illinois
NPI 1346762374

Melanie Bullock is a Mental Health Counselor based in Bolingbrook, IL and is specialized in Mental Health. Melanie Bullock practices in Lisle, IL and has the professional credentials of LCPC. The NPI Number for Melanie Bullock is 1346762374 and holds a License No. 180.008778 (Illinois).

The current practice location address for Melanie Bullock is 3033 Ogden Ave Ste 210, Lisle, IL and can be reached out via phone at 877-443-7030.

Location: 3033 Ogden Ave Ste 210, Lisle, IL, 60440-1388
person
Provider Profile Details
NPI Number
1346762374
Provider Name
Melanie Bullock
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
3033 Ogden Ave Ste 210, Lisle, IL, 60440-1388
Phone Number
877-443-7030
Fax Number
Provider Enumeration Date
07/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124092911 01 IL GROUP
institution
Provider Business Practice Location Address Details
Address
3033 Ogden Ave Ste 210
City
State
Zip
60532-1976
Phone Number
877-443-7030
Fax Number
person
Provider Business Mailing Address Details
Address
3033 Ogden Ave Ste 210
City
State
Zip
60532-1976
Phone Number
877-443-7030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.008778 (Illinois)
Definition
Definition to come...
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