Individual
ALICKA VICTORIA CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
185 SOUTH KIMBALL AVENUE, SUITE 100, SOUTHLAKE, TX 76092
(817) 756-1440
Mailing address
185 SOUTH KIMBALL AVENUE, SUITE 100, SOUTHLAKE, TX 76092
(817) 756-1440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79447
TX
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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