Individual provider · Type 1 NPI
Joseph E. Bullock Jr., LCPC, LPC
Professional Counselor · Newtown, VA
NPI number
1679170724
Active
Practice location
11903 Newtown Rd
Newtown, VA 23126-2041
Mailing address
PO Box 863
Severn, MD 21144-0863
Other practice locations
- 5303 Langston Blvd, Arlington, VA 22207-1607 · (703) 615-2582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | PRC14807 (DC) |
| Professional Counselor Primary | 101YP2500X | LCO877 (MD) |
Professional Counselor: Definition to come...
About NPI 1679170724
Joseph E. Bullock Jr., LCPC, LPC's National Provider Identifier is 1679170724, issued on Oct 1, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newtown, VA. The record was last updated on Nov 4, 2025.