Individual provider · Type 1 NPI

Ashley Bullock

Mental Health Counselor · Bloomington, IN

NPI number 1588439566 Active

Practice location

5010 N Stone Mill Rd Ste B
Bloomington, IN 47408-9320

Fax (888) 789-8394

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1588439566

Ashley Bullock's National Provider Identifier is 1588439566, issued on Nov 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IN. The record was last updated on Nov 20, 2023.