Individual provider · Type 1 NPI

Samuel Bullock

Professional Counselor · West Columbia, SC

NPI number 1265273908 Active

Practice location

2277 Sunset Blvd
West Columbia, SC 29169-4713

Call (888) 796-1117 Map

Fax (803) 996-5228

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10394 (SC)

Professional Counselor: Definition to come...

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About NPI 1265273908

Samuel Bullock's National Provider Identifier is 1265273908, issued on Jun 5, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Columbia, SC. The record was last updated on Jun 3, 2026.