Individual
DAVID EARL MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 E TUSCALOOSA ST, FLORENCE, AL 35630
(256) 617-4263
Mailing address
706 MIDLAND AVE, MUSCLE SHOALS, AL 35661-1639
(256) 617-4263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3746
AL
Other
Enumeration date
01/25/2018
Last updated
03/17/2018
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