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Individual
MATTHEW CULLER
Active
Individual
MATTHEW CULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC008846
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103429455
—
PA
Enumeration date
02/12/2014
Last updated
06/24/2019
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