Tracey Mccullough
NPI #1790132694 in Ceres, California
Provider Information
- NPI Number
- 1790132694
- Entity Type
- Individual
- Name
- Tracey Mccullough
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 20, 2016
- Last Updated
- Oct 24, 2017
Practice Location
- Address
- 1904 RICHLAND AVE
- City
- Ceres
- State
- California
- ZIP Code
- 95307-4562
- Phone
- (209) 541-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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