Individual provider · Type 1 NPI

Melanie Bullock, LCPC

Mental Health Counselor · Lisle, IL

NPI number 1346762374 Active

Practice location

3033 Ogden Ave Ste 210
Lisle, IL 60532-1976

Call (877) 443-7030 Map

Mailing address

543 Norman Rd
Bolingbrook, IL 60440-1388

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.008778 (IL)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1346762374

Melanie Bullock, LCPC's National Provider Identifier is 1346762374, issued on Jul 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lisle, IL. The record was last updated on Jul 12, 2017.