person
Monica Michelle Bullock, LCPC
Professional Counselor in Woodridge, Illinois
NPI 1629315288

Monica Michelle Bullock is a Professional Counselor based in Woodridge, IL and is specialized in Professional. Monica Michelle Bullock practices in Woodridge, IL and has the professional credentials of LCPC. The NPI Number for Monica Michelle Bullock is 1629315288 and holds a License No. 180.009519 (Illinois).

The current practice location address for Monica Michelle Bullock is 7712 Knotty Pine Ct, Woodridge, IL and can be reached out via phone at 773-307-5023. You can also correspond with Monica Michelle Bullock through the mailing address at 7712 KNOTTY PINE CT, WOODRIDGE, IL - 60517-2912 (mailing address contact number: 773-307-5023).

Location: 7712 Knotty Pine Ct, Woodridge, IL, 60517-2912
person
Provider Profile Details
NPI Number
1629315288
Provider Name
Monica Michelle Bullock
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
7712 Knotty Pine Ct, Woodridge, IL, 60517-2912
Phone Number
773-307-5023
Fax Number
Provider Enumeration Date
01/15/2013
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180.009519 01 IL LCPC
institution
Provider Business Practice Location Address Details
Address
7712 Knotty Pine Ct
City
State
Zip
60517-2912
Phone Number
773-307-5023
Fax Number
person
Provider Business Mailing Address Details
Address
7712 Knotty Pine Ct
City
State
Zip
60517-2912
Phone Number
773-307-5023
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.009519 (Illinois)
Definition
Definition to come...
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