Individual
ELIZABETH BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
308 CLAIREMONT AVE, DECATUR, GA 30030-2506
(404) 308-8548
Mailing address
3132 HOLLYWOOD DR, DECATUR, GA 30033-5129
(480) 444-8027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006548
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APC006548
LICENSE NO.
GA
Enumeration date
02/06/2019
Last updated
02/06/2019
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