Individual
JOHNNA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
Mailing address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009804
PA
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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