Individual
CASEY JO TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
85 NE LOOP 410 STE 223, SAN ANTONIO, TX 78216-5836
(210) 552-0985
Mailing address
25343 LONGBRANCH RUN, SAN ANTONIO, TX 78261-2988
(210) 552-0985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65156
TX
Other
Enumeration date
12/31/2010
Last updated
12/10/2023
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