Individual
ALEXANDRA TULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
4412 PARK RD, CHARLOTTE, NC 28209-3130
(980) 217-6901
Mailing address
4224 AUTUMN FROST TRL, CHARLOTTE, NC 28262-7085
(704) 326-6222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12926
NC
101YP2500X
Professional Counselor
Primary
A12926
NC
Other
Enumeration date
04/25/2017
Last updated
05/11/2026
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