Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIAWANA BULLOCK III
ActiveTIAWANA BULLOCK III is a Counselor healthcare provider located in SAN RAFAEL, California. NPI 1306985502 is currently active in the NPPES registry. Verify at CMS.
Counselor · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1306985502
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2007 (19.3386197656 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
555 NORTHGATE DRFAMILY SERVICE AGENCY OF MARINSAN RAFAEL, CA, 94903Browse CA providers · Browse ZIP 94903
- Phone
- 4154915700
- Fax
- 4154915750
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| EILEEN BECKER | — | 1669587135 |
| LAURA WILSON | — | 1770667552 |
| MR. ERIC SCOTT ROBERTS | BA | 1972688927 |
| MS. DEE W SCHWEITZER | ATR-BC | 1326100082 |
| YOLANDA MARQUEZ | — | 1730246414 |
| CHARLOTTE FULLER | — | 1336296540 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.