Provider Demographics
NPI:1962230409
Name:ZULLI, JOSH (LPC-A)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:
Last Name:ZULLI
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 KINNEY AVE APT 38
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2162
Mailing Address - Country:US
Mailing Address - Phone:512-786-4541
Mailing Address - Fax:
Practice Address - Street 1:1115 KINNEY AVE APT 38
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-2162
Practice Address - Country:US
Practice Address - Phone:512-786-4541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional