Individual provider · Type 1 NPI

Teresa Marie Bullock, RRW

Addiction (Substance Use Disorder) Counselor · Hemet, CA

NPI number 1710014626 Active

Practice location

960 N State St Ste B
Hemet, CA 92543-1473

Call (951) 652-3560 Map

Fax (951) 929-2780

Mailing address

20500 Telford Ave
Perris, CA 92570-8952

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 1710014626

Teresa Marie Bullock, RRW's National Provider Identifier is 1710014626, issued on Feb 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hemet, CA. The record was last updated on Jul 9, 2007.