Shannon Louella Bullock
Shannon Louella Bullock is a Mental Health Counselor in New Orleans, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
10711 Vienna StNew Orleans, LA 70127
Phone: (504) 813-4616
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1417450420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2018 |
| Last updated in NPPES | June 16, 2018 |
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