Individual
JUSTINE ELAINE CULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT-INTERN
Contact information
Practice address
1900 MAIN ST, KLAMATH FALLS, OR 97601-2629
(618) 267-6121
Mailing address
1125 GRELLE AVE, LEWISTON, ID 83501-5460
(530) 905-3545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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