Individual
SUSAN ELIZABETH GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3200 LENOX RD NE, APT. C312, ATLANTA, GA 30324-2679
(714) 585-9335
Mailing address
3200 LENOX RD NE, APT. C312, ATLANTA, GA 30324-2679
(714) 585-9335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008883
GA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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