Individual
DR. JOSEPH E BULLOCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC,LPC
Contact information
Practice address
11903 NEWTOWN RD, NEWTOWN, VA 23126-2041
(703) 615-2582
Mailing address
PO BOX 863, SEVERN, MD 21144-0863
(703) 615-2582
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCO877
MD
101YP2500X
Professional Counselor
PRC14807
DC
Other
Enumeration date
10/01/2020
Last updated
11/04/2025
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