person
Brent Bullock, LPC
Professional Counselor in Chesapeake, Virginia
NPI 1659794436

Brent Bullock is a Professional Counselor based in Chesapeake, VA and is specialized in Professional. Brent Bullock practices in Chesapeake, VA and has the professional credentials of LPC. The NPI Number for Brent Bullock is 1659794436 and holds a License No. LH60712904 (Virginia).

The current practice location address for Brent Bullock is 1100 Battlefield Blvd S Unit 15777, Chesapeake, VA and can be reached out via phone at 757-296-0414.

Location: 1100 Battlefield Blvd S Unit 15777, Chesapeake, VA, 23328-1231
person
Provider Profile Details
NPI Number
1659794436
Provider Name
Brent Bullock
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1100 Battlefield Blvd S Unit 15777, Chesapeake, VA, 23328-1231
Phone Number
757-296-0414
Fax Number
Provider Enumeration Date
01/29/2014
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
1100 Battlefield Blvd S Unit 15777
City
State
Zip
23328-1231
Phone Number
757-296-0414
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Battlefield Blvd S Unit 15777
City
State
Zip
23328-1231
Phone Number
757-296-0414
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701008190 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LH60712904 (Washington)
Definition
Definition to come...
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