Individual
MRS. SHAYLA LATEEFAH BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1773 MILL BRANCH DR, LAUREL, MD 20708-3414
(301) 256-8548
Mailing address
1773 MILL BRANCH DR, LAUREL, MD 20708-3414
(301) 256-8548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4067
MD
Other
Enumeration date
06/21/2019
Last updated
02/25/2026
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