Katie Bullock, LMFT
NPI #1437550498 in Shasta Lake, California
Provider Information
- NPI Number
- 1437550498
- Entity Type
- Individual
- Name
- Katie Bullock, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Sep 9, 2014
- Last Updated
- May 27, 2021
Practice Location
- Address
- 5232 SHASTA DAM BLVD STE C
- City
- Shasta Lake
- State
- California
- ZIP Code
- 96019-9398
- Phone
- (530) 605-4373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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