Individual
AMBER ELIZABETH BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 MATTHEWS TOWNSHIP PKWY STE 320, MATTHEWS, NC 28105-5403
(704) 384-1261
(704) 384-3145
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16028
NC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/26/2008
Last updated
01/06/2025
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