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:
Health care specialties
| Specialty | Code | License # | 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 4 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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