Individual
RUTH ANNE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 228-9464
Mailing address
410 TOWER RD, KETCHIKAN, AK 99901-5357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
294
AK
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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