Individual provider · Type 1 NPI

Susan Bertha Kullman, LCSW

Mental Health Counselor · Prescott, AZ

NPI number 1467506816 Active

Practice location

915 E Gurley St, Ste 105
Prescott, AZ 86301-3244

Call (928) 445-0231 Map

Mailing address

536 S Cortez St, Ste 1C
Prescott, AZ 86303-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW2411 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1467506816

Susan Bertha Kullman, LCSW's National Provider Identifier is 1467506816, issued on Jan 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.