person
Ms. Christina M Bullock, MED,LPC,NCC
Professional Counselor in Evans, Georgia
NPI 1821265307

Christina M Bullock is a Professional Counselor based in Evans, GA and is specialized in Professional. Christina M Bullock practices in Evans, GA and has the professional credentials of MED,LPC,NCC. The NPI Number for Christina M Bullock is 1821265307 and holds a License No. P1201007 (Georgia).

The current practice location address for Christina M Bullock is 252 Calloway Ct, Evans, GA and can be reached out via phone at 870-243-7514 and via fax at 870-933-9395.

Location: 252 Calloway Ct, Evans, GA, 30809
person
Provider Profile Details
NPI Number
1821265307
Provider Name
Christina M Bullock
Credential
MED,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
252 Calloway Ct, Evans, GA, 30809
Phone Number
870-243-7514
Fax Number
870-933-9395
Provider Enumeration Date
05/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5AA34 01 AR BCBS
169571795 05 AR
institution
Provider Business Practice Location Address Details
Address
252 Calloway Ct
City
State
Zip
30809
Phone Number
870-243-7514
Fax Number
870-933-9395
person
Provider Business Mailing Address Details
Address
252 Calloway Ct
City
State
Zip
30809
Phone Number
870-243-7514
Fax Number
870-933-9395
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P1201007 (Arkansas)
Definition
Definition to come...
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