Individual
KELLY ELIZABETH TULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23801 CALABASAS RD, SUITE 2036, CALABASAS, CA 91302-3462
(818) 485-4694
Mailing address
7609 HOLLINS RD, RICHMOND, VA 23229-6655
(804) 683-8159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005281
VA
101YP2500X
Professional Counselor
2195
CA
Other
Enumeration date
07/18/2012
Last updated
09/16/2021
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