Individual
DR. LEONA GRACE GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, RN,CS
Contact information
Practice address
11014 APISON PIKE, APISON, TN 37302-9768
(423) 236-5888
Mailing address
PO BOX 192, COLLEGEDALE, TN 37315-0192
(423) 472-5652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0702
TN
Other
Enumeration date
01/05/2007
Last updated
07/09/2007
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