Organization
MICHAEL W. MCNULTY, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WAYNE MCNULTY LPC (SOLE PROPRIETOR)
(770) 289-8217
Entity
Organization
Contact information
Practice address
2330 SCENIC HWY S STE 204, SNELLVILLE, GA 30078-3115
(770) 289-8217
(888) 502-0589
Mailing address
2330 SCENIC HWY S STE 204, SNELLVILLE, GA 30078-3115
(770) 289-8217
(888) 502-0589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC000664
GA
Other
Enumeration date
10/10/2006
Last updated
07/21/2022
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