Individual
MICHELE BENDER BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MFTA
Contact information
Practice address
3129 HARWICK DR, HOOVER, AL 35242-4436
(205) 305-4925
Mailing address
3129 HARWICK DR, HOOVER, AL 35242-4436
(205) 305-4925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4221
AL
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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