DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE BULLOCK, LMFT

Active Sole Proprietor

KATIE BULLOCK, LMFT is a Marriage & Family Therapist healthcare provider located in SHASTA LAKE, California. NPI 1437550498 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SHASTA LAKE, CA

Registration Details

NPI Number
1437550498
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2014 (11.926231891427 yrs)
Last Updated
May 27, 2021
License
106669 (CA)
Sole Proprietor
Yes

Practice Information

Address
5232 SHASTA DAM BLVD STE C
SHASTA LAKE, CA, 960199398
Browse CA providers · Browse ZIP 96019
Phone
5306054373
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in SHASTA LAKE, CA

Name Credential NPI
MR. PATRICK O'LEARLY MFT 1538209572
LERAE ARIAGNO LMFT, APCC 1689171456
AMY NICHOLENE CHAMBERS LMFT 1356188379
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.