Deshonda Bullock
Counselor, Mental Health in Lakewood, WA. Individual provider (NPI-1).
NPI number1053939744
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1053939744
- Entity type
- Individual (NPI-1)
- Name
- Deshonda Bullock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2020
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
9330 59th Ave SwLakewood, WA 98499-2858
Phone 253-620-5015
Mailing address
9330 59th Ave SwLakewood, WA 98499-2858
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 679 Mental Health Counselor providers in Lakewood · All 3,440 providers in Lakewood
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