Kelly Elizabeth Tull, LPC
Counselor, Professional in Calabasas, CA. Individual provider (NPI-1).
NPI number1366797193
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1366797193
- Entity type
- Individual (NPI-1)
- Name
- Kelly Elizabeth Tull
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2012
- Certification date
- Sep 16, 2021
- Last updated
- Sep 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701005281 | VA | Yes |
| 101YP2500X | Counselor, Professional | 2195 | CA |
Practice location
23801 Calabasas RdSuite 2036
Calabasas, CA 91302-3462
Phone 818-485-4694
Mailing address
7609 Hollins RdRichmond, VA 23229-6655
Phone 804-683-8159
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