MR. Gary R Mccullough, CDP
NPI #1720256555 in Mukilteo, Washington
Provider Information
- NPI Number
- 1720256555
- Entity Type
- Individual
- Name
- MR. Gary R Mccullough, CDP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDP
- Enumeration Date
- Feb 14, 2008
- Last Updated
- Mar 12, 2014
Practice Location
- Address
- 627 5TH ST
- Address 2
- SUITE 100A
- City
- Mukilteo
- State
- Washington
- ZIP Code
- 98275-1580
- Phone
- (425) 290-5757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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Organizations
| Provider Name | |
|---|---|
| Colonial Clinic Ii, LLC |
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