person
Tracy Cullom, MA,LAPC
Professional Counselor in Suwanee, Georgia
NPI 1811503402

Tracy Cullom is a Professional Counselor based in Athens, GA and is specialized in Professional. Tracy Cullom practices in Suwanee, GA and has the professional credentials of MA,LAPC. The NPI Number for Tracy Cullom is 1811503402 and holds a License No. APC007578 (Georgia).

The current practice location address for Tracy Cullom is 4411 Suwanee Dam Rd, Suwanee, GA and can be reached out via phone at 678-993-8464. You can also correspond with Tracy Cullom through the mailing address at 180 PIONEER DR, ATHENS, GA - 30605-4016 (mailing address contact number: 404-259-8465).

Location: 4411 Suwanee Dam Rd, Suwanee, GA, 30605-4016
person
Provider Profile Details
NPI Number
1811503402
Provider Name
Tracy Cullom
Credential
MA,LAPC
Provider Entity Type
Individual
Gender
Female
Address
4411 Suwanee Dam Rd, Suwanee, GA, 30605-4016
Phone Number
678-993-8464
Fax Number
Provider Enumeration Date
09/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4411 Suwanee Dam Rd
City
State
Zip
30024-8701
Phone Number
678-993-8464
Fax Number
person
Provider Business Mailing Address Details
Address
4411 Suwanee Dam Rd
City
State
Zip
30024-8701
Phone Number
678-993-8464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
APC007578 (Georgia)
Definition
Definition to come...
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