Individual
MICHAEL J LULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2625 FAIRWAY DR STE C, FULTON, MO 65251-4023
(573) 808-4131
Mailing address
2625 FAIRWAY DR STE C, FULTON, MO 65251-4023
(573) 582-1234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
979
MO
101YP2500X
Professional Counselor
Primary
2001007816
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498463009
—
MO
Enumeration date
01/15/2007
Last updated
03/11/2026
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