| Doctor Name: | JONATHAN OWENS PULLEY |
| NPI Number: | 1437490687 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCAS-A |
| License Number: | 2847-A |
| Business Practice Address: | 2808 S Croatan Hwy Suite B Nags Head, NC - 279599024 |
| Business Phone Number: | 2524412324 |
| Business Fax Number: | |
| Mailing Address: | 4300-110 Sapphire Court, GREENVILLE |
| State: | NC |
| Postal Code: | 278349019 |
| Phone Number: | 2528307540 |
| Fax Number: | 2524130932 |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2847-A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |