Jesse Bullock
Jesse Bullock is a Mental Health Counselor in Alpine, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2271 Alpine Blvd Ste AAlpine, CA 91901-1101
Phone: (619) 289-7322
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1457005365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | January 27, 2022 |
| Mailing address | 13191 Kellam Ct Apt 95, San Diego, CA 92130-1279 |
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