Individual
MR. TY LOWELL TULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LSOTP
Contact information
Practice address
616 N MAIN ST, SUITE 200, TEMPLE, TX 76501-3249
(254) 773-9984
(254) 773-7902
Mailing address
PO BOX 204, 616 NORTH MAIN STREET, TEMPLE, TX 76503-0204
(254) 773-9984
(254) 773-7902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16848
TX
Other
Enumeration date
07/31/2006
Last updated
07/09/2007
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