Individual
ANGELA TULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MADISON STREET, EVERETT, WA 98203
(425) 212-4200
(425) 212-4201
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1851409767
WA
101YM0800X
Mental Health Counselor
923
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
923
WA STATE REG. COUNSELOR
WA
Enumeration date
08/29/2006
Last updated
11/02/2016
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