Tiawana Bullock is a counselor in San Rafael, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Tiawana Bullock NPI is 1306985502. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-5700
Fax: (415) 491-5750
The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/8/2007.