Dr Mark Dana Bullock, PHD - Counselor in Hayden, ID

Dr Mark Dana Bullock, PHD is a Counselor - Mental Health based in Hayden, Idaho. Dr Mark Dana Bullock is licensed to practice in Idaho (license number LPC-988) and his current practice location is 6160 E Hayden Lake Rd, Hayden, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 699-8044.

NPI number for Dr Mark Dana Bullock is 1346370277 and his current mailing address is 6160 E Hayden Lake Rd, Hayden, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346370277.

Contact Information

Dr Mark Dana Bullock, PHD
6160 E Hayden Lake Rd,
Hayden, ID 83835-7594
(208) 699-8044
Not Available

Healthcare Provider's Profile

Full NameDr Mark Dana Bullock
GenderMale
SpecialityCounselor - Mental Health
Location6160 E Hayden Lake Rd, Hayden, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346370277
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Mark Dana Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346370277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC-988 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Dana Bullock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Dana Bullock, PHD
6160 E Hayden Lake Rd,
Hayden, ID 83835-7594

Ph: (208) 699-8044
Dr Mark Dana Bullock, PHD
6160 E Hayden Lake Rd,
Hayden, ID 83835-7594

Ph: (208) 699-8044

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Counselor in Hayden, ID

Ms. Catherine Michelle Strigotte, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 827 W Prairie Ave, Hayden, ID 83835
Phone: 208-215-5943    
Mrs. Melissa Delane Cross, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9351 N Justice Way, Hayden, ID 83835
Phone: 757-439-2624    
Mr. Clark William Guest, LAADC #LNR2090411
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9494 N Government Way # 202, Hayden, ID 83835
Phone: 208-449-2509    
Robert Morrissette,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 157 W Hayden Ave, Ste 204, Hayden, ID 83835
Phone: 208-762-9770    
Jill Claudine Smith, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 88 W Commerce Dr, Suite C, Hayden, ID 83835
Phone: 208-762-4405    
Heather Marie Johnson, LCSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 8382 N Wayne Dr, Hayden, ID 83835
Phone: 208-719-9110    Fax: 208-209-6026

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