Individual provider · Type 1 NPI

Malissa M. McCulloch, LPC

Mental Health Counselor · Nampa, ID

NPI number 1225814718 Active

Practice location

220 10th Ave S
Nampa, ID 83651-3832

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9731 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1225814718

Malissa M. McCulloch, LPC's National Provider Identifier is 1225814718, issued on Aug 31, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Aug 31, 2023.