Individual
TAMIKA BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,NCC, MBA
Contact information
Practice address
311 S NEW YORK RD STE 21, GALLOWAY, NJ 08205-6025
(609) 992-4849
(609) 939-1265
Mailing address
311 S NEW YORK RD STE 21, GALLOWAY, NJ 08205-6025
(609) 992-4849
(609) 939-1265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00353200
NJ
Other
Enumeration date
05/01/2008
Last updated
09/09/2021
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