Individual provider · Type 1 NPI

Shanquinnell Bullock, LCPC

Professional Counselor · Chicago, IL

NPI number 1144361775 Active

Practice location

132 E 79th St
Chicago, IL 60619-2302

Call (773) 487-0515 Map

Mailing address

7712 S Wabash Ave
Chicago, IL 60619-2321

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1144361775

Shanquinnell Bullock, LCPC's National Provider Identifier is 1144361775, issued on Feb 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.