Individual provider · Type 1 NPI
Walter J. Bullock, MS
Mental Health Counselor · Philadelphia, PA
NPI number
1346868783
Active
Practice location
1831 Wakeling St
Philadelphia, PA 19124-2855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1346868783
Walter J. Bullock, MS's National Provider Identifier is 1346868783, issued on Jul 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 13, 2020.