Jessica Bullock, LCADC, MA, CCS
Counselor, Addiction (Substance Use Disorder) in Cranford, New Jersey
1649695610- Practice location
- 2 South Ave E Ste 200, Cranford, NJ 07016-2811
- Phone
- 732-770-5627
- Fax
- —
- Last updated
- February 19, 2025
Jessica Bullock is a Counselor, Addiction (Substance Use Disorder) based in Cranford, NJ. Jessica Bullock practices in Cranford, NJ and has the professional credentials of LCADC, MA, CCS. The NPI Number for Jessica Bullock is 1649695610 and holds a License No. 37PC00529500 (NJ). The current practice location address for Jessica Bullock is 2 South Ave E Ste 200, Cranford, NJ 07016-2811 and can be reached out via phone at 732-770-5627.
Provider Profile Details
- NPI Number
- 1649695610
- Provider Name
- Jessica Bullock
- Credential
- LCADC, MA, CCS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 South Ave E Ste 200, Cranford, NJ 07016-2811
- Phone Number
- 732-770-5627
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 26, 2014
- Last Update Date
- February 19, 2025
- Certification Date
- February 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 South Ave E Ste 200
Cranford, NJ 07016-2811 - City
- Cranford
- State
- New Jersey
- Zip
- 07016-2811
- Phone Number
- 732-770-5627
Provider Business Mailing Address Details
- Address
- 821 N Wood Ave
Linden, NJ 07036-4037 - City
- Linden
- State
- NJ
- Zip
- 07036-4037
- Phone Number
- 908-290-3550
- Fax Number
- 732-626-6365
License Information
- License Number
- 37PC00529500
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica Bullock, LCADC, MA, CCS?
The NPI number of Jessica Bullock, LCADC, MA, CCS is 1649695610. It was assigned on February 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Jessica Bullock, LCADC, MA, CCS?
Jessica Bullock, LCADC, MA, CCS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37PC00529500.
Where does Jessica Bullock, LCADC, MA, CCS practice?
The practice location is 2 South Ave E Ste 200, Cranford, NJ 07016-2811. The office can be reached at 732-770-5627 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649695610 directly on the NPPES registry website.