Individual
MRS. ANDREA SHANTZ BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
417 N MAIN ST, SUITE B, SALISBURY, NC 28144-4376
(704) 636-5522
(704) 636-5533
Mailing address
417 N MAIN ST, SUITE B, SALISBURY, NC 28144-4376
(704) 636-5522
(704) 636-5533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3175
NC
Other
Enumeration date
06/04/2008
Last updated
02/18/2016
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