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Organization
MB BEHAVIORAL HEALTH
Active
Organization
MB BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA BULLOCK LCPC (THERAPIST)
(773) 307-5023
Entity
Organization
Contact information
Practice address
7712 KNOTTY PINE CT, WOODRIDGE, IL 60517-2912
(773) 307-5023
Mailing address
7712 KNOTTY PINE CT, WOODRIDGE, IL 60517-2912
(773) 307-5023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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