NPI age
19 years
Enumerated 2007-03-07
● Active
Type 1 · Individual
DR. Mark Dana Bullock, PH.D.
Bullock is 1 of 14 counselor providers in Hayden and 1 of 1998 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1998 active counselor providers in Idaho.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
6160 E Hayden Lake Rd
Hayden, ID 838357594
Mailing address
6160 E Hayden Lake Rd
Hayden, ID 838357594
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new counselor provider has been added in Hayden in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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