Individual provider · Type 1 NPI

Casey Jo Tully, MA, NCC, LPC

Professional Counselor · San Antonio, TX

NPI number 1174827455 Active

Practice location

85 NE Loop 410 Ste 223
San Antonio, TX 78216-5836

Call (210) 552-0985 Map

Mailing address

25343 Longbranch Run
San Antonio, TX 78261-2988

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X65156 (TX)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1174827455

Casey Jo Tully, MA, NCC, LPC's National Provider Identifier is 1174827455, issued on Dec 31, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Dec 10, 2023.