Individual
MRS. EMILY EVE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CADC
Contact information
Practice address
1200 3RD AVE NW, SUITE 1, FORT DODGE, IA 50501-2207
(515) 576-4156
(515) 576-6998
Mailing address
1200 3RD AVE NW, FORT DODGE, IA 50501-2207
(515) 576-4156
(515) 576-6998
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000294
IA
Other
Enumeration date
04/08/2008
Last updated
04/04/2014
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