Individual
DOLORES JEANNE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
96 LINDEN AVE, JERSEY CITY, NJ 07305-3919
(551) 208-8565
Mailing address
96 LINDEN AVE, JERSEY CITY, NJ 07305-3919
(551) 208-8565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00827600
NJ
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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