Search › Illinois › 104100000X
Raquel Pulliam
NPI 1669152450 · on the registry since 2023
Practice
- Address
- 4202 Williamson Pl Ste 1
Mount Vernon, IL 62864 - Phone
- (618) 816-1224
- Organisation at this address
- Dynamic Counseling And Consultation Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois