Individual
SAMANTHA ARIN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 N STATE ST, IOLA, KS 66749-1677
(620) 380-6600
(620) 577-2134
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00860
KS
1041C0700X
Clinical Social Worker
Primary
06262
KS
Other
Enumeration date
06/15/2023
Last updated
05/14/2024
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