Individual provider · Type 1 NPI
Julian Rafferty McCullough, PhD, LPC, LMHC
Mental Health Counselor · Vancouver, WA
NPI number
1265165153
Active
Practice location
1307 NE 43rd St
Vancouver, WA 98663-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | C5864 (OR) |
| Mental Health Counselor | 101YM0800X | LPC009458 (GA) |
| Mental Health Counselor Primary | 101YM0800X | MX61291003 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1265165153
Julian Rafferty McCullough, PhD, LPC, LMHC's National Provider Identifier is 1265165153, issued on Jul 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Jul 7, 2022.