NPI | 1841424264 |
---|---|
Other Name | LAURA PAGE TULLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0006128) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO LPC.0006128) |
101YM0800X Counselor, Mental Health (Licence: CO LPC.0006128) | |
Enumeration Date | 2009-05-13 |
Last Update Date | 2021-10-28 |