Tracy Cullom, MA, LAPC Valid NPI
Individual provider · Professional Counselor · Suwanee, GA
- NPI
- 1811503402
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- APC007578 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-09-18
- Last updated
- 2020-09-18
Practice location
4411 Suwanee Dam Rd
Suwanee, GA 30024-8701
(678) 993-8464