Amanda Bullock

NPI #1043850811 in Cheyenne, Wyoming

Provider Information

NPI Number
1043850811
Entity Type
Individual
Name
Amanda Bullock
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jan 9, 2020
Last Updated
Jan 9, 2020

Practice Location

Address
2005 WARREN AVE
State
Wyoming
ZIP Code
82001-3725
Phone
(307) 426-4855

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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