Individual provider · Type 1 NPI

Michelle Tullis

Mental Health Counselor · Columbia, IL

NPI number 1083071872 Active

Practice location

221 S Metter Ave
Columbia, IL 62236-2253

Mailing address

854 Meadowview Ln
Columbia, IL 62236-1012

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.011541 (IL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1083071872

Michelle Tullis's National Provider Identifier is 1083071872, issued on Jan 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, IL. The record was last updated on Jan 25, 2016.