Individual
MS. JANA LYNN MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
175T00000X
Peer Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174570949
—
WA
Enumeration date
11/21/2018
Last updated
11/17/2025
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