Individual
ABILASH P PULICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW STE 540, ATLANTA, GA 30310-1101
(404) 914-4782
(404) 914-4782
Mailing address
5686 FULTON INDUSTRIAL BLVD SW, UNIT 44528, ATLANTA, GA 30336
(404) 914-4782
(404) 914-4782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
05/21/2018
Last updated
04/12/2021
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