SHAYNA BULLOCK

MANGHAM, LA
NPI1538785183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-06-19
Last Update Date2026-02-12
Business Address
SHAYNA BULLOCK
312 MAIN ST
MANGHAM, LA 71259-5277
Phone number: 318-330-5859
Mailing Address
SHAYNA BULLOCK
312 MAIN ST
MANGHAM, LA 71259-5277
Phone number: 318-330-5859