Kathleen L Cullop, LCPC

NPI #1063691137 in Champaign, Illinois

Provider Information

NPI Number: 1063691137
Entity Type: Individual
Name: Kathleen L Cullop, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Oct 25, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 1207 S MATTIS AVE
Address 2: SUITE 4
City: Champaign
State: Illinois
ZIP Code: 61821-4861
Phone: (217) 398-8067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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