Individual
AMANDA GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 CHEROKEE ST NW STE 903, KENNESAW, GA 30144-6782
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC016903
GA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
07/21/2026
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