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Regina Marie Bullock
Mental Health Counselor in Oakland, California
NPI 1376315754

Regina Marie Bullock is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Regina Marie Bullock practices in Oakland, CA. The NPI Number for Regina Marie Bullock is 1376315754 and holds a License No. (California).

The current practice location address for Regina Marie Bullock is 2730 Adeline St, Oakland, CA and can be reached out via phone at 510-421-4804.

Location: 2730 Adeline St, Oakland, CA, 94607-2408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376315754
Provider Name
Regina Marie Bullock
Credential
Provider Entity Type
Individual
Gender
Female
Address
2730 Adeline St, Oakland, CA, 94607-2408
Phone Number
510-421-4804
Fax Number
Provider Enumeration Date
10/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2730 Adeline St
City
Oakland
State
California
Zip
94607-2408
Phone Number
510-421-4804
Fax Number
person
Provider Business Mailing Address Details
Address
2730 Adeline St
City
Oakland
State
California
Zip
94607-2408
Phone Number
510-421-4804
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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