Individual
KATHRYN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PMH-C, CLC
Contact information
Practice address
310 PENNSYLVANIA AVE, ELMIRA, NY 14904-1458
(607) 733-2820
Mailing address
310 PENNSYLVANIA AVE, ELMIRA, NY 14904-1458
(607) 733-2820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
10/02/2023
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