Bullock, Katie

Bullock, Katie is an sole proprietor health care provider with primary practice located at 5232 Shasta Dam Blvd Ste C , Shasta Lake CA 96019-9398. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bullock, Katie can be contacted via phone (530) 605-4373.

Contact Information

Primary practice address
5232 Shasta Dam Blvd Ste C Shasta Lake CA 96019-9398
Phone: (530) 605-4373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 106669 California

Profile Details

NPI number 1437550498
LBN Legal business name Bullock, Katie
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2014
Last updated May 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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