Individual
DAVID REESE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2 N WATER ST, SAPULPA, OK 74066-2816
(918) 224-0225
(918) 224-5975
Mailing address
2 N WATER ST, SAPULPA, OK 74066-2816
(918) 224-0225
(918) 224-5975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2410
OK
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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