Individual provider · Type 1 NPI
Tina Bullock
Mental Health Counselor · East Windsor, CT
NPI number
1275714032
Active
Practice location
70 S Water St
East Windsor, CT 06088-6600
Fax (860) 292-1518
Mailing address
41 Highland Ave
Ellington, CT 06029-3796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in East Windsor
About NPI 1275714032
Tina Bullock's National Provider Identifier is 1275714032, issued on Nov 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Windsor, CT. The record was last updated on Nov 21, 2007.