Individual provider · Type 1 NPI

Tenecia Bullock

Mental Health Counselor · Vicksburg, MS

NPI number 1932408382 Active

Practice location

3334 Wisconsin Avenue, Warren-Yazoo Mental Health Services
Vicksburg, MS 39180-2067

Call (601) 638-0031 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1932408382

Tenecia Bullock's National Provider Identifier is 1932408382, issued on Mar 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Mar 24, 2011.