Individual provider · Type 1 NPI

Tyhilya Kunisha McCullum-Johnson, LCPC

Professional Counselor · Highland, IN

NPI number 1164735346 Active

Practice location

2844 Grand Blvd
Highland, IN 46322-1238

Mailing address

9721 165th St Ste 21
Orland Park, IL 60467-4511

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X178006611 (IL)
Mental Health Counselor 101YM0800X178006611 (IL)
Professional Counselor Primary 101YP2500X180-007578 (IL)

Professional Counselor: Definition to come...

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About NPI 1164735346

Tyhilya Kunisha McCullum-Johnson, LCPC's National Provider Identifier is 1164735346, issued on Jul 16, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Highland, IN. The record was last updated on Jan 27, 2023.