Individual provider · Type 1 NPI

Martha Bullock

Mental Health Counselor · Ketchikan, AK

NPI number 1275309692 Active

Practice location

201 Deermount St
Ketchikan, AK 99901-6649

Call (907) 228-4900 Map

Mailing address

2960 Tongass Ave
Ketchikan, AK 99901-5742

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275309692

Martha Bullock's National Provider Identifier is 1275309692, issued on Nov 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ketchikan, AK. The record was last updated on Nov 27, 2023.