Individual provider · Type 1 NPI

Deshonda Bullock

Mental Health Counselor · Lakewood, WA

NPI number 1053939744 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1053939744

Deshonda Bullock's National Provider Identifier is 1053939744, issued on Jul 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Jul 8, 2020.