Individual provider · Type 1 NPI

Amanda Bullock

Mental Health Counselor · Cheyenne, WY

NPI number 1043850811 Active

Practice location

2005 Warren Ave
Cheyenne, WY 82001-3725

Call (307) 426-4855 Map

Mailing address

7308 Legacy Pkwy
Cheyenne, WY 82009-8392

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPPC-1166 (WY)

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in Cheyenne

See all in Cheyenne →

About NPI 1043850811

Amanda Bullock's National Provider Identifier is 1043850811, issued on Jan 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cheyenne, WY. The record was last updated on Jan 9, 2020.