IndividualActive
Justin Bullock
NPI 1083274161 · School Counselor · Philadelphia, PA
Provider details
- NPI number
- 1083274161
- Entity type
- Individual
- Primary specialty
- School CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1420 Walnut St Ste 1350
Philadelphia, PA 19102-4019
Phone: (215) 664-3200
Mailing address
2506 Chatham Rd
Lansing, MI 48910-2406
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2019-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.