| Doctor Name: | MR. JOHN SINK PULLIAM |
| NPI Number: | 1003252958 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCAS-A |
| License Number: | A10435 |
| Business Practice Address: | 124 W Kapp St Dobson, NC - 270178825 |
| Business Phone Number: | 3369262293 |
| Business Fax Number: | |
| Mailing Address: | Po Box 431, PINNACLE |
| State: | NC |
| Postal Code: | 27043 |
| Phone Number: | 3369262293 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2013 |
| NPI Last Update Date: | 02/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A10435 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |