Individual provider · Type 1 NPI
Roderick Conley Bullock
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1932374766
Active
Practice location
3104 Mintleaf Drive
Charlotte, NC 28269
Mailing address
3104 Mintleaf Dr
Charlotte, NC 28269-3069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1932374766
Roderick Conley Bullock's National Provider Identifier is 1932374766, issued on Apr 23, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Sep 22, 2022.