Individual
DARREN PATRICK MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1165 AIRPORT BLVD, AUSTIN, TX 78702-3152
(512) 902-7595
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15460
TX
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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