person
Mr. Jeff Black Bullock, LCDC
Addiction (Substance Use Disorder) Counselor in Plano, Texas
NPI 1811430499

Jeff Black Bullock is an Addiction (Substance Use Disorder) Counselor based in Plano, TX and is specialized in Addiction (Substance Use Disorder). Jeff Black Bullock practices in Plano, TX and has the professional credentials of LCDC. The NPI Number for Jeff Black Bullock is 1811430499 and holds a License No. (Texas).

The current practice location address for Jeff Black Bullock is 2600 Avenue K Ste 102, Plano, TX and can be reached out via phone at 972-423-8727 and via fax at 972-423-8918.

Location: 2600 Avenue K Ste 102, Plano, TX, 75074
person
Provider Profile Details
NPI Number
1811430499
Provider Name
Jeff Black Bullock
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
2600 Avenue K Ste 102, Plano, TX, 75074
Phone Number
972-423-8727
Fax Number
972-423-8918
Provider Enumeration Date
11/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 Avenue K Ste 102
City
State
Zip
75074
Phone Number
972-423-8727
Fax Number
972-423-8918
person
Provider Business Mailing Address Details
Address
2600 Avenue K Ste 102
City
State
Zip
75074
Phone Number
972-423-8727
Fax Number
972-423-8918
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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