Individual provider · Type 1 NPI

Steven Emmett McCullough, MBA

Mental Health Counselor · Boulder, CO

NPI number 1265971402 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1265971402

Steven Emmett McCullough, MBA's National Provider Identifier is 1265971402, issued on Feb 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Feb 21, 2017.