MARK MCCULLOUGH, MA, LADC-MH CAND

Counselor

Active Individual
NPI: 1043093479

Practice Address

13707 FAIRHILL AVE
Edmond, OK 73013

Phone: (405) 607-4041

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1043093479 is the National Provider Identifier for MARK MCCULLOUGH, MA, LADC-MH CAND, a Counselor provider located in Edmond, OK. This NPI was enumerated on August 17, 2023.
MARK MCCULLOUGH, MA, LADC-MH CAND practices at 13707 FAIRHILL AVE, Edmond, OK 73013.

Quick Facts

NPI
1043093479
Type
Individual
Enumerated
Aug 17, 2023
Last Updated
Aug 17, 2023

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