Individual provider · Type 1 NPI
Martha S. Bullock, MSW
Mental Health Counselor · Brookline, MA
NPI number
1013404466
Active
Practice location
30 Park St Apt 1
Brookline, MA 02446-6257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 100042 (MA) |
| Mental Health Counselor Primary | 101YM0800X | 100042 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1013404466
Martha S. Bullock, MSW's National Provider Identifier is 1013404466, issued on Apr 20, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookline, MA. The record was last updated on Apr 20, 2018.