Individual provider · Type 1 NPI
Matthew McCullough
Mental Health Counselor · Portland, OR
NPI number
1881051746
Active
Practice location
2725 NE Flanders St
Portland, OR 97232-3159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1881051746
Matthew McCullough's National Provider Identifier is 1881051746, issued on Jan 24, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 24, 2016.