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Abigail Rose Lei Bullock
Mental Health Counselor in Mcminnville, Oregon
NPI 1821670670

Abigail Rose Lei Bullock is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Abigail Rose Lei Bullock practices in Mcminnville, OR. The NPI Number for Abigail Rose Lei Bullock is 1821670670 and holds a License No. (Oregon).

The current practice location address for Abigail Rose Lei Bullock is 420 Ne 5Th St, Mcminnville, OR and can be reached out via phone at 503-434-7462.

Location: 420 Ne 5Th St, Mcminnville, OR, 97213-6332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821670670
Provider Name
Abigail Rose Lei Bullock
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 Ne 5Th St, Mcminnville, OR, 97213-6332
Phone Number
503-434-7462
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 Ne 5Th St
City
Mcminnville
State
Oregon
Zip
97128-4603
Phone Number
503-434-7462
Fax Number
person
Provider Business Mailing Address Details
Address
420 Ne 5Th St
City
Mcminnville
State
Oregon
Zip
97128-4603
Phone Number
503-434-7462
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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