Individual
JOY TULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 PAPER TRAIL WAY STE 106, CANTON, GA 30115-5204
(678) 880-4645
Mailing address
5106 SHOTWELL ST, WOODSTOCK, GA 30188-4665
(325) 450-8828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012993
GA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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