Individual provider · Type 1 NPI

Tracy Cullom, MA, LAPC

Professional Counselor · Suwanee, GA

NPI number 1811503402 Active

Practice location

4411 Suwanee Dam Rd
Suwanee, GA 30024-8701

Mailing address

180 Pioneer Dr
Athens, GA 30605-4016

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPC007578 (GA)

Professional Counselor: Definition to come...

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About NPI 1811503402

Tracy Cullom, MA, LAPC's National Provider Identifier is 1811503402, issued on Sep 18, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Suwanee, GA. The record was last updated on Sep 18, 2020.