Dominique Bullocks
Dominique Bullocks is a Mental Health Counselor in Jackson, Mississippi. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4780 I 55 N Ste 105Jackson, MS 39211-5542
Phone: (601) 956-4816
Fax: (601) 956-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1568105575 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 18, 2022 |
| Last updated in NPPES | April 18, 2022 |
| Certification date | April 18, 2022 |
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