person
Mr. Warren Keith Bullock
Addiction (Substance Use Disorder) Counselor in Bastrop, Louisiana
NPI 1902682016

Warren Keith Bullock is an Addiction (Substance Use Disorder) Counselor based in Winnsboro, LA and is specialized in Addiction (Substance Use Disorder). Warren Keith Bullock practices in Bastrop, LA. The NPI Number for Warren Keith Bullock is 1902682016 and holds a License No. CIT-5695 (Louisiana).

The current practice location address for Warren Keith Bullock is 343 N Washington St, Bastrop, LA and can be reached out via phone at 318-974-5075 and via fax at 844-270-1958.

Location: 343 N Washington St, Bastrop, LA, 71295-4402
person
Provider Profile Details
NPI Number
1902682016
Provider Name
Warren Keith Bullock
Credential
Provider Entity Type
Individual
Gender
Male
Address
343 N Washington St, Bastrop, LA, 71295-4402
Phone Number
318-974-5075
Fax Number
844-270-1958
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
343 N Washington St
City
State
Zip
71220-3849
Phone Number
318-974-5075
Fax Number
844-270-1958
person
Provider Business Mailing Address Details
Address
343 N Washington St
City
State
Zip
71220-3849
Phone Number
318-974-5075
Fax Number
844-270-1958
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CIT-5695 (Louisiana)
Definition
Definition to come...
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