Individual
MRS. AMY ELIZABETH MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
3091 E SHADOWLAWN AVE NE, ATLANTA, GA 30305-2481
(404) 846-0699
Mailing address
25 FOXRIDGE CT SE, MARIETTA, GA 30067-4301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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