Individual
MRS. DONNA C MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
96 LOST CREEK COVE RD, LINEVILLE, AL 36266-8873
(334) 303-4421
Mailing address
PO BOX 625, WEDOWEE, AL 36278-0625
(334) 303-4421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC04130
AL
Other
Enumeration date
06/29/2023
Last updated
08/06/2023
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