Individual
MARIA SUE GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
2935 W MARKET ST, LIMA, OH 45807-2254
(567) 421-3152
Mailing address
2935 W MARKET ST, LIMA, OH 45807-2254
(567) 421-3152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
APS.005218
OH
101YM0800X
Mental Health Counselor
APS.005218
OH
175T00000X
Peer Specialist
Primary
APS.005218
OH
Other
Enumeration date
02/10/2025
Last updated
02/13/2025
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