Individual provider · Type 1 NPI
Bertha Delois Bullock, LCSWA
Mental Health Counselor · Raleigh, NC
NPI number
1174479588
Active
Practice location
2472 Tonoloway Dr
Raleigh, NC 27610-7190
Fax (252) 739-6641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P023264 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1174479588
Bertha Delois Bullock, LCSWA's National Provider Identifier is 1174479588, issued on Mar 9, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Mar 9, 2026.