Tina Bullock
NPI #1275714032 in East Windsor, Connecticut
Provider Information
- NPI Number
- 1275714032
- Entity Type
- Individual
- Name
- Tina Bullock
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 21, 2007
- Last Updated
- Nov 21, 2007
Practice Location
- Address
- 70 S WATER ST
- City
- East Windsor
- State
- Connecticut
- ZIP Code
- 06088-6600
- Phone
- (860) 623-3039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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