Female

Ms. Christina M. Bullock M.ED, LPC, NCC

Professional Counselor in Evans, GA(View on Map)

Full Name

Ms. Christina M Bullock M.ED, LPC, NCC

NPI Number

1821265307

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/13/2008

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

P1201007

Contact
Information

Purpose

Mailing
Location

Address

252 CALLOWAY CT
252 CALLOWAY CT

City

Evans
Evans

State

GA
GA

Postal Code

30809
30809

Country

US
US

Telephone Number

(870) 243-7514
(870) 243-7514

Identifiers

Identifier

5AA34
169571795

Identifier State

AR
AR

Identifier Issuer

BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/03/2022

Provider Address

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