Individual provider · Type 1 NPI

Shane M. Bullick, MA

Mental Health Counselor · Syracuse, IN

NPI number 1285295394 Active

Practice location

901 S Huntington St
Syracuse, IN 46567-1923

Call (574) 457-4400 Map

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285295394

Shane M. Bullick, MA's National Provider Identifier is 1285295394, issued on Jun 28, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Syracuse, IN. The record was last updated on Jun 28, 2019.