Individual
ANNETTE PULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC AND LPCC, LPC
Contact information
Practice address
15561 RAILROAD ST STE 203A, HAYWARD, WI 54843-5703
(651) 347-1380
(651) 347-1380
Mailing address
N9705 VIOLET LN, HAYWARD, WI 54843-1179
(651) 380-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302869
MN
101YP2500X
Professional Counselor
Primary
01151
MN
101YP2500X
Professional Counselor
10255-125
WI
Other
Enumeration date
02/28/2013
Last updated
12/20/2023
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