Michelle Tullis

NPI #1083071872 in Columbia, Illinois

Provider Information

NPI Number: 1083071872
Entity Type: Individual
Name: Michelle Tullis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 25, 2016
Last Updated: Jan 25, 2016

Practice Location

Address: 221 S METTER AVE
City: Columbia
State: Illinois
ZIP Code: 62236-2253
Phone: (618) 420-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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