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

Jacqueline Bullock

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568908911

Jacqueline Bullock is an Addiction (Substance Use Disorder) Counselor in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

9442 International Blvd
Oakland, CA 94603-1444
Phone: (510) 777-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1568908911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017
Mailing address9442 International Blvd, Oakland, CA 94603-1444

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