Individual
ASHLEY P. BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15229 AMAR RD, LA PUENTE, CA 91744-2066
(626) 855-5090
Mailing address
1640 S CABANA AVE, WEST COVINA, CA 91790-4526
(626) 893-5500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
151110
CA
Other
Enumeration date
11/25/2018
Last updated
12/11/2025
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