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Jesse Bullock
Mental Health Counselor in Alpine, California
NPI 1457005365

Jesse Bullock is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Jesse Bullock practices in Alpine, CA. The NPI Number for Jesse Bullock is 1457005365 and holds a License No. (California).

The current practice location address for Jesse Bullock is 2271 Alpine Blvd Ste A, Alpine, CA and can be reached out via phone at 619-289-7322.

Location: 2271 Alpine Blvd Ste A, Alpine, CA, 92130-1279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457005365
Provider Name
Jesse Bullock
Credential
Provider Entity Type
Individual
Gender
Female
Address
2271 Alpine Blvd Ste A, Alpine, CA, 92130-1279
Phone Number
619-289-7322
Fax Number
Provider Enumeration Date
02/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2271 Alpine Blvd Ste A
City
Alpine
State
California
Zip
91901-1101
Phone Number
619-289-7322
Fax Number
person
Provider Business Mailing Address Details
Address
2271 Alpine Blvd Ste A
City
Alpine
State
California
Zip
91901-1101
Phone Number
619-289-7322
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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