Individual provider · Type 1 NPI
Michele Lynn Bullock, NCC, LPC, BC-TMH
Professional Counselor · North Haven, CT
NPI number
1376682161
Active
Practice location
55 Tennyson Ave
North Haven, CT 06473-2732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | TPMC5336 (FL) |
| Professional Counselor Primary | 101YP2500X | 001538 (CT) |
| Mental Health Counselor | 101YM0800X | 001538 (CT) |
Professional Counselor: Definition to come...
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About NPI 1376682161
Michele Lynn Bullock, NCC, LPC, BC-TMH's National Provider Identifier is 1376682161, issued on Feb 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in North Haven, CT. The record was last updated on May 7, 2026.