Individual provider · Type 1 NPI
Henry Kenneth McCullough, COUNSELOR
Mental Health Counselor · Deland, FL
NPI number
1427183045
Active
Practice location
442 E New York Ave, Suite 10
Deland, FL 32724-5553
Fax (386) 738-1085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH 2762 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1427183045
Henry Kenneth McCullough, COUNSELOR's National Provider Identifier is 1427183045, issued on Feb 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Deland, FL. The record was last updated on Jul 8, 2007.