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Organization
PATRICK TULLY LICENSED MARRIAGE AND FAMILY THERAPIST INC
Active
Organization
PATRICK TULLY LICENSED MARRIAGE AND FAMILY THERAPIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DAVEY TULLY MA, LMFT (OWNER/PRESIDENT/CEO)
(323) 819-0747
Entity
Organization
Contact information
Practice address
3685 MOTOR AVE STE 220, LOS ANGELES, CA 90034-5746
(323) 819-0747
Mailing address
10866 WASHINGTON BLVD # 1329, CULVER CITY, CA 90232-3610
(323) 819-0747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
11/23/2023
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