Individual provider · Type 1 NPI

Glenda Bullock-Willis, LCPC

Professional Counselor · Berwyn Heights, MD

NPI number 1386073237 Active

Practice location

6201 Greenbelt Rd, Suite U4
Berwyn Heights, MD 20740-2354

Call (301) 832-6295 Map

Mailing address

9715 Luria Ln
Lanham, MD 20706-3311

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC3872 (MD)

Professional Counselor: Definition to come...

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About NPI 1386073237

Glenda Bullock-Willis, LCPC's National Provider Identifier is 1386073237, issued on Nov 1, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berwyn Heights, MD. The record was last updated on Nov 1, 2013.