Jamie Bullock
NPI #1316351778 in Saint Robert, Missouri
Provider Information
- NPI Number
- 1316351778
- Entity Type
- Individual
- Name
- Jamie Bullock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 13, 2014
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 127 KALE CT
- City
- Saint Robert
- State
- Missouri
- ZIP Code
- 65584-3816
- Phone
- (573) 261-8140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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|---|---|
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