Individual
ERICA MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6344 E BROADWAY RD STE 107, MESA, AZ 85206-1634
(480) 788-2220
Mailing address
1376 E ROSEMARY TRL, CASA GRANDE, AZ 85122-1157
(623) 300-8181
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT16250
AZ
Other
Enumeration date
11/17/2014
Last updated
12/03/2024
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