person
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. You can also correspond with Jesse Bullock through the mailing address at 13191 KELLAM CT APT 95, SAN DIEGO, CA - 92130-1279 (mailing address contact number: 775-901-6190).

Location: 2271 Alpine Blvd Ste A, Alpine, CA, 92130-1279
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
State
Zip
91901-1101
Phone Number
619-289-7322
Fax Number
person
Provider Business Mailing Address Details
Address
13191 Kellam Ct Apt 95
City
State
Zip
92130-1279
Phone Number
775-901-6190
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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