Individual provider · Type 1 NPI

Garrett Grannan McCullough

Peer Specialist · Los Angeles, CA

NPI number 1104706944 Active

Practice location

433 N Hoover St
Los Angeles, CA 90004-2306

Call (323) 644-2000 Map

Mailing address

357 S Alvarado St Apt 309
Los Angeles, CA 90057-4512

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-TZNKCE (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104706944

Garrett Grannan McCullough's National Provider Identifier is 1104706944, issued on Sep 3, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 3, 2025.