Most Relevant Information
Provider Data
| NPI Number: | 1003544057 |
| Provider Name: | JOY TULLOCH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC012993 |
Most Important Dates
| Enumeration Date: | 08/09/2022 |
| Last Updated: | 08/09/2022 |
Provider Practice Location
310 PAPER TRAIL WAY STE 106
CANTON
GA
301155204
Practice Location Phone/Fax
| Phone: | 6788804645 |
| Fax: |
Provider Mailing Location
5106 SHOTWELL ST
WOODSTOCK
GA
301884665
Provider Mailing Phone/Fax
| Phone: | 3254508828 |
| Fax: |