Individual
CESELY MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 AIRPORT RD APT 40, MANY, LA 71449-3910
(318) 602-7232
Mailing address
150 AIRPORT RD APT 40, MANY, LA 71449-3910
(318) 602-7232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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