Individual provider · Type 1 NPI

Willie McCullough

Mental Health Counselor · Oak Park, MI

NPI number 1104292127 Active

Practice location

23751 Coyle St
Oak Park, MI 48237-1929

Call (248) 506-5891 Map

Mailing address

22590 Pembroke Ave
Detroit, MI 48219-1158

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6401013637 (MI)
Mental Health Counselor Primary 101YM0800X261QA0600X (MI)

Mental Health Counselor: Definition to come...

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About NPI 1104292127

Willie McCullough's National Provider Identifier is 1104292127, issued on Aug 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oak Park, MI. The record was last updated on Aug 13, 2015.