BRENT BULLOCK, LPC
Counselor - Professional
Active
Individual
NPI: 1659794436
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | LH60712904 (WA) |
| Counselor - Professional | 101YP2500X | Yes | 0701008190 (VA) |
Frequently Asked Questions
NPI 1659794436 is the National Provider Identifier for BRENT BULLOCK, LPC, a Counselor - Professional provider located in Chesapeake, VA. This NPI was enumerated on January 29, 2014.
BRENT BULLOCK, LPC practices at 1100 BATTLEFIELD BLVD S UNIT 15777, Chesapeake, VA 23328.
Quick Facts
- NPI
- 1659794436
- Type
- Individual
- Enumerated
- Jan 29, 2014
- Last Updated
- May 16, 2024
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