Individual
HARRIET BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
2012 NEW GARDEN RD, SUITE E, GREENSBORO, NC 27410-2529
(336) 288-0588
(336) 288-0517
Mailing address
2012 NEW GARDEN RD, SUITE E, GREENSBORO, NC 27410-2529
(336) 288-0588
(336) 288-0517
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14027
BCBS
NC
05
—
6105106
—
NC
Enumeration date
12/19/2006
Last updated
07/09/2007
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