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NPI Code Detail

MEDICARE: LINDA A. GULLATTE LPC

MEDICARE:   LINDA A. GULLATTE  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC005373GA

General Provider Information

NPI Number : 1699912220
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA A. GULLATTE LPC
Provider Business Mailing Address
First Line : 11815 NORTHFALL LANE
Second Line : SUITE 1006
City : ALPHARETTA
State : GA
Zip : 30004
Country : US
Telephone Number : 404-375-6614
Fax Number : 770-360-0976
Provider Business Practice Location Address
First Line : 11815 NORTHFALL LN
Second Line : SUITE 1006
City : ALPHARETTA
State : GA
Zip : 30009-7973
Country : US
Telephone Number : 404-375-6614
Fax Number : 770-360-0976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2009
Last Update Date : 01/20/2009

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Directions to “ LINDA A. GULLATTE LPC” Practice Location

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