Individual
JACK PULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
111 S CORTEZ ST, PRESCOTT, AZ 86303-4703
(928) 756-9083
Mailing address
111 S CORTEZ ST, PRESCOTT, AZ 86303-4703
(928) 756-9083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-16329
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-16329
AZ
Other
Enumeration date
03/07/2018
Last updated
12/16/2021
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