Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Dana Bullock, PHD

Individual provider Mental Health Counselor · NPI 1346370277

Dr. Mark Dana Bullock, PHD is a Mental Health Counselor in Hayden, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6160 E Hayden Lake Rd
Hayden, ID 83835-7594
Phone: (208) 699-8044
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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 · Licence LPC-988 (ID)

Record details

NPI number1346370277
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007

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