Kelly Mccullough
NPI #1417333873 in Pasco, Washington
Provider Information
- NPI Number
- 1417333873
- Entity Type
- Individual
- Name
- Kelly Mccullough
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 7, 2015
- Last Updated
- Oct 12, 2018
Practice Location
- Address
- 715 W COURT ST
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301-4153
- Phone
- (509) 554-6506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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