Individual provider · Type 1 NPI

Mario McCullum

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1629759154 Active

Practice location

5855 Streamview Dr
San Diego, CA 92105-3910

Call (619) 287-5460 Map

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 1629759154

Mario McCullum's National Provider Identifier is 1629759154, issued on Jul 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 27, 2023.