Individual provider · Type 1 NPI

Mark Allen McCullough, MA, LADC-MH CAND

Counselor · Edmond, OK

NPI number 1043093479 Active

Practice location

13707 Fairhill Ave
Edmond, OK 73013-1946

Call (405) 607-4041 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043093479

Mark Allen McCullough, MA, LADC-MH CAND's National Provider Identifier is 1043093479, issued on Aug 17, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 17, 2023.