Individual
MAKO TULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9340 JAMES AVE S, BLOOMINGTON, MN 55431-2317
(952) 332-7736
Mailing address
9340 JAMES AVE S, BLOOMINGTON, MN 55431-2317
(952) 332-7736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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