Mr Warren Keith Bullock, | |
343 N Washington St, Bastrop, LA 71220-3849 | |
(318) 974-5075 | |
(844) 270-1958 |
Full Name | Mr Warren Keith Bullock |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 343 N Washington St, Bastrop, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902682016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CIT-5695 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Warren Keith Bullock, 1103 Lavender Dr, Winnsboro, LA 71295-4402 Ph: (504) 274-8007 | Mr Warren Keith Bullock, 343 N Washington St, Bastrop, LA 71220-3849 Ph: (318) 974-5075 |
Annie Massey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Curt Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Lee Antwine Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, 209 West Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Randy Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Franklin St, Bastrop, LA 71220 Phone: 318-410-1062 | |
Adrian Burnette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Nicole Dantzler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Felicia Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 |