Individual
JOHN WILLIAM TULLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.; C.A.G.S.
Contact information
Practice address
129 KING ST, NORTHAMPTON, MA 01060-3258
(413) 636-2993
Mailing address
129 KING ST, NORTHAMPTON, MA 01060-3258
(413) 636-2993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302086
—
MA
Enumeration date
09/30/2013
Last updated
09/30/2013
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