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Graciela Ruth Pulliam, MALMHC
Mental Health Counselor in Orange City, Florida
NPI 1578704078

Graciela Ruth Pulliam is a Mental Health Counselor based in Deltona, FL and is specialized in Mental Health. Graciela Ruth Pulliam practices in Orange City, FL and has the professional credentials of MALMHC. The NPI Number for Graciela Ruth Pulliam is 1578704078 and holds a License No. MH9913 (Florida).

The current practice location address for Graciela Ruth Pulliam is 2425 S Volusia Ave Ste B4, Orange City, FL and can be reached out via phone at 321-578-7488.

Location: 2425 S Volusia Ave Ste B4, Orange City, FL, 32725-3098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578704078
Provider Name
Graciela Ruth Pulliam
Credential
MALMHC
Provider Entity Type
Individual
Gender
Female
Address
2425 S Volusia Ave Ste B4, Orange City, FL, 32725-3098
Phone Number
321-578-7488
Fax Number
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014378900 05 FL
institution
Provider Business Practice Location Address Details
Address
2425 S Volusia Ave Ste B4
City
Orange City
State
Florida
Zip
32763-7625
Phone Number
321-578-7488
Fax Number
person
Provider Business Mailing Address Details
Address
2425 S Volusia Ave Ste B4
City
Orange City
State
Florida
Zip
32763-7625
Phone Number
321-578-7488
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH9913 (Florida)
Definition
Definition to come...
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