Individual provider · Type 1 NPI

Nicolle McCullough

Professional Counselor · Waco, TX

NPI number 1275334070 Active

Practice location

345 Owen Ln Ste 102
Waco, TX 76710-5583

Call (512) 686-6012 Map

Fax (512) 842-7227

Mailing address

208 Hewitt Dr Ste 103 Box 218
Waco, TX 76712-6693

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X91672 (TX)

Professional Counselor: Definition to come...

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About NPI 1275334070

Nicolle McCullough's National Provider Identifier is 1275334070, issued on Mar 19, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waco, TX. The record was last updated on Mar 19, 2025.