Individual
PENNEY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
300 COLLEGE AVE, ORANGEBURG, SC 29117-5400
(803) 386-2395
Mailing address
1030 SPRING ST, ORANGEBURG, SC 29115-4310
(803) 347-7601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5390
SC
101YP2500X
Professional Counselor
Primary
5390
SC
Other
Enumeration date
10/25/2013
Last updated
03/31/2016
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