Individual provider · Type 1 NPI

Patricia Tammette Bullock, PLPC

Professional Counselor · Monroe, LA

NPI number 1386093078 Active

Practice location

622 Riverside Dr
Monroe, LA 71201-6211

Mailing address

56 Rattlesnake Rd
Mangham, LA 71259-5332

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6359 (LA)

Professional Counselor: Definition to come...

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About NPI 1386093078

Patricia Tammette Bullock, PLPC's National Provider Identifier is 1386093078, issued on Jun 3, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Monroe, LA. The record was last updated on Jun 3, 2016.