SearchVirginia101YP2500X

Brent Bullock, LPC

NPI 1659794436 · on the registry since 2014 · sole proprietor

Practice

Address
1100 Battlefield Blvd S Unit 15777
Chesapeake, VA 23328
Phone
(757) 296-0414
Clinicians at this address
10

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
Licence states on file
WA, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-16

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 Virginia