MR. STEPHEN GILLIGAN TULL NPI 1720526601

NPI Information

MR. Stephen Gilligan Tull is a peer specialist in San Jose, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Stephen Gilligan Tull NPI is 1720526601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

86 S 14TH ST
SAN JOSE, CA
ZIP 95112-015
Phone: (408) 510-7080

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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