Individual
JENNIFER LYNNE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC-S
Contact information
Practice address
10925 REED HARTMAN HWY STE 307, BLUE ASH, OH 45242-2842
(513) 912-3539
Mailing address
10925 REED HARTMAN HWY STE 307, BLUE ASH, OH 45242-2842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2303376
OH
Other
Enumeration date
02/22/2021
Last updated
08/23/2024
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