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

Kellen Bullock

Individual provider Marriage & Family Therapist · NPI 1093368029

Kellen Bullock is a Marriage & Family Therapist in San Francisco, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1801 Vicente St
San Francisco, CA 94116-2923
Phone: (415) 681-3211
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 143651 (CA)

Record details

NPI number1093368029
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

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