Individual provider · Type 1 NPI

Sandra Cheryl McCullough, LCPC

Professional Counselor · Boise, ID

NPI number 1720047384 Active

Practice location

5400 W Franklin Rd, Suite H
Boise, ID 83705

Call (208) 345-1170 Map

Fax (208) 345-3502

Mailing address

PO Box 9, 211 16th Ave N
Nampa, ID 83653-0009

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC260 (ID)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1720047384

Sandra Cheryl McCullough, LCPC's National Provider Identifier is 1720047384, issued on Mar 22, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Sep 9, 2009.