Individual provider · Type 1 NPI
Brent Bullock, LPC
Professional Counselor · Chesapeake, VA
NPI number
1659794436
Active
Practice location
1100 Battlefield Blvd S Unit 15777
Chesapeake, VA 23328-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60712904 (WA) |
| Professional Counselor Primary | 101YP2500X | 0701008190 (VA) |
Professional Counselor: Definition to come...
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About NPI 1659794436
Brent Bullock, LPC's National Provider Identifier is 1659794436, issued on Jan 29, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chesapeake, VA. The record was last updated on May 16, 2024.