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Individual
MATTHEW MCCULLOUGH
Active
Individual
MATTHEW MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2506778-TRNE
OH
101Y00000X
Counselor
Primary
C.2608132
OH
101YM0800X
Mental Health Counselor
C.2608132
OH
101YP2500X
Professional Counselor
C.2608132
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177975
—
OH
Enumeration date
09/06/2025
Last updated
09/03/2026
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