Individual
MCCULLOCH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
485 HIGHWAY 1 W, IOWA CITY, IA 52246-4205
(319) 883-2525
Mailing address
485 HIGHWAY 1 W, IOWA CITY, IA 52246-4205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
112984
IA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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