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

Jamie Bullock

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316351778

Jamie Bullock is an Addiction (Substance Use Disorder) Counselor in Saint Robert, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
Specialties on file
2

Practice location Address checks out

127 Kale Ct
Saint Robert, MO 65584-3816
Phone: (573) 261-8140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2014015460 (MO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 7924 (MO)

Record details

NPI number1316351778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2014
Last updated in NPPESNovember 18, 2021
Certification dateNovember 17, 2021
Mailing addressPo Box 4067, Waynesville, MO 65583-4067

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