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

Justin Bullock

Individual provider School Counselor · NPI 1083274161

Justin Bullock is a School Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1420 Walnut St Ste 1350
Philadelphia, PA 19102-4019
Phone: (215) 664-3200
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Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X

Record details

NPI number1083274161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2019
Last updated in NPPESJune 19, 2019
Mailing address2506 Chatham Rd, Lansing, MI 48910-2406

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