Individual
ELYSE M TULLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CIMHP
Contact information
Practice address
2487 S GILBERT RD STE 106-404, GILBERT, AZ 85295-8899
(509) 414-7379
Mailing address
2487 S GILBERT RD STE 106-404, GILBERT, AZ 85295-8899
(509) 414-7379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MG60970659
WA
106H00000X
Marriage & Family Therapist
Primary
LMFT-16050
AZ
106H00000X
Marriage & Family Therapist
MFT.LF61199773
WA
106H00000X
Marriage & Family Therapist
Primary
MG60970659
WA
Other
Enumeration date
10/24/2018
Last updated
01/16/2026
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