Individual provider · Type 1 NPI

Derrick Deshawn-Marcus McCullom, LPC

Mental Health Counselor · Westland, MI

NPI number 1447020573 Active

Practice location

34290 Ford Rd
Westland, MI 48185-3051

Other practice locations

  • 33520 Birchlawn, Westland, MI 48185-8906 · (313) 445-2695
  • 29548 Southfield Rd Ste 100, Southfield, MI 48076-2028 · (313) 293-7460

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401223703 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1447020573

Derrick Deshawn-Marcus McCullom, LPC's National Provider Identifier is 1447020573, issued on Jan 9, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westland, MI. The record was last updated on Jan 11, 2024.