Individual provider · Type 1 NPI

Owen Bullock

Mental Health Counselor · Oklahoma City, OK

NPI number 1407271018 Active

Practice location

12429 Pittsburgh Ave
Oklahoma City, OK 73120-6000

Call (405) 881-0107 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407271018

Owen Bullock's National Provider Identifier is 1407271018, issued on Feb 19, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 19, 2014.