Organization
BRAD CULLUM COUNSELING PLLC
Active
Other names
Harvest Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD CULLUM (PRESIDENT)
(940) 294-7061
Entity
Organization
Contact information
Practice address
142 OLD TOWN BLVD N STE 200, LANTANA, TX 76226-3954
(940) 294-7061
Mailing address
142 OLD TOWN BLVD N STE 200, LANTANA, TX 76226-3954
(940) 294-7061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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