Kenneth Mccullough, LADC, LCPC

NPI #1902178080 in Hallowell, Maine

Provider Information

NPI Number: 1902178080
Entity Type: Individual
Name: Kenneth Mccullough, LADC, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LADC, LCPC
Enumeration Date: Feb 3, 2012
Last Updated: Dec 7, 2015

Practice Location

Address: 52 WATER ST
Address 2: SUITE 2
City: Hallowell
State: Maine
ZIP Code: 04347
Phone: (207) 430-3777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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