Individual provider · Type 1 NPI

Demitrius Tarro Bullock

Addiction (Substance Use Disorder) Counselor · Wilmington, DE

NPI number 1427222801 Active

Practice location

2814 Lancaster Ave
Wilmington, DE 19805-5225

Call (302) 655-9880 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1427222801

Demitrius Tarro Bullock's National Provider Identifier is 1427222801, issued on Apr 17, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, DE. The record was last updated on Apr 17, 2008.