Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DANA BULLOCK, PH.D.
Active Sole ProprietorDR. MARK DANA BULLOCK, PH.D. is a Mental Health Counselor healthcare provider located in HAYDEN, Idaho. NPI 1346370277 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · HAYDEN, ID
Registration Details
- NPI Number
- 1346370277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2007 (19.393959891285 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LPC-988 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6160 E HAYDEN LAKE RDHAYDEN, ID, 838357594Browse ID providers · Browse ZIP 83835
- Phone
- 2086998044
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in HAYDEN, ID
| Name | Credential | NPI |
|---|---|---|
| MS. VICTORIA ANN PURVIANCE | LCPC | 1699907907 |
| MRS. FAITH MARIE SAWYER CASPER | LCPC | 1326389966 |
| EMILY MONNIER | — | 1639508898 |
| SHAWN TURNER | — | 1386096154 |
| KATIE LEE SAVAGE | M.S., LCPC, LMHC | 1407309958 |
| COURTNEY HAVIKEN | — | 1891237228 |
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.