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Shanquinnell Bullock, LCPC
NPI 1144361775 · on the registry since 2007 · sole proprietor
Practice
- Address
- 132 E 79th St
Chicago, IL 60619 - Phone
- (773) 487-0515
- Organisation at this address
- Dean Wellness Group Llc
Gilead Behavioral Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois