Provider Demographics
NPI:1598015307
Name:PULLEY, MONICA MARTHA
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MARTHA
Last Name:PULLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:MARTHA
Other - Last Name:CABRERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12721 N PRINCEVILLE JUBILEE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61559-9162
Mailing Address - Country:US
Mailing Address - Phone:309-218-6852
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 85
Practice Address - Street 2:
Practice Address - City:PRINCEVILLE
Practice Address - State:IL
Practice Address - Zip Code:61559-0085
Practice Address - Country:US
Practice Address - Phone:309-218-6852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109683106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist