Individual provider · Type 1 NPI

Patricia J. Bullock, AMTI

Marriage & Family Therapist · Petaluma, CA

NPI number 1609009877 Active

Practice location

1500 Petaluma Blvd S Ste A
Petaluma, CA 94952

Call (707) 765-8488 Map

Mailing address

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000XIMF91583 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1609009877

Patricia J. Bullock, AMTI's National Provider Identifier is 1609009877, issued on Sep 3, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Petaluma, CA. The record was last updated on Jul 18, 2018.