Individual provider · Type 1 NPI

Keith Charles McCulloch

Addiction (Substance Use Disorder) Counselor · Sylmar, CA

NPI number 1609050871 Active

Practice location

13741 Foothill Blvd
Sylmar, CA 91342-3133

Call (818) 833-9789 Map

Mailing address

1140 0BERLIN
Glendale, CA 91205

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609050871

Keith Charles McCulloch's National Provider Identifier is 1609050871, issued on Dec 24, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sylmar, CA. The record was last updated on Dec 24, 2007.