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Individual

HASAN JERMEL PULLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
721 E 10TH ST, ANNISTON, AL 36207-4785
(256) 996-5705
Mailing address
PO BOX 8222, ANNISTON, AL 36202-8222
(256) 996-5705

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3361
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3361
LPC
AL
Enumeration date
08/02/2005
Last updated
03/02/2015
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