Dolores Jeanne Bullock, LPC
Counselor, Professional in Jersey City, NJ. Individual provider (NPI-1).
NPI number1700527702
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1700527702
- Entity type
- Individual (NPI-1)
- Name
- Dolores Jeanne Bullock
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2022
- Certification date
- Mar 2, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37pc00827600 | NJ | Yes |
Practice location
96 Linden AveJersey City, NJ 07305-3919
Phone 551-208-8565
Mailing address
96 Linden AveJersey City, NJ 07305-3919
Phone 551-208-8565
Other practice locations
96 Linden Ave
Jersey City, NJ 07305-3919
Jersey City, NJ 07305-3919
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