Individual provider · Type 1 NPI

Virginia Bullock, MA, LCMHCA, NCC

Mental Health Counselor · Burlington, NC

NPI number 1912674896 Active

Practice location

1205 S Main St
Burlington, NC 27215-5762

Call (336) 663-3107 Map

Fax (336) 792-1029

Mailing address

3615 N Elm St Apt 3M
Greensboro, NC 27455-2868

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA16909 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1912674896

Virginia Bullock, MA, LCMHCA, NCC's National Provider Identifier is 1912674896, issued on Aug 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington, NC. The record was last updated on Aug 27, 2021.