Individual provider · Type 1 NPI

Ashley Bullock

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1154078657 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Call (937) 387-6395 Map

Mailing address

509 Xenia Ave
Dayton, OH 45410-1823

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.179536 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154078657

Ashley Bullock's National Provider Identifier is 1154078657, issued on Mar 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Mar 4, 2022.