Individual
MR. JEFF BLACK BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2600 AVENUE K STE 102, ACCESS COUNSELING GROUP, PLANO, TX 75074
(972) 423-8727
(972) 423-8918
Mailing address
2600 AVENUE K STE 102, ACCESS COUNSELING GROUP, PLANO, TX 75074
(972) 423-8727
(972) 423-8918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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